TROY SIMON GRANTHAM M.D.
NPI 1013570811
Psychiatry & Neurology - Psychiatry in Lubbock, TX

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
3223 S LOOP 289 STE 600 PRIVATE OFFICE 630, LUBBOCK, TX 79423(833) 351-8255(888) 815-3583 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Jul 10, 2023, Apr 17, 2019 (3 updates tracked since 2019).

About Troy Simon Grantham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TROY SIMON GRANTHAM M.D. (NPI 1013570811) is an individual psychiatry provider in Lubbock, Texas, licensed in Texas (T2384) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Medical Branch At Galveston (2019).

NPPES Registry Identity

NPI1013570811
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTROY SIMON GRANTHAMCredential: M.D.
Location Address3223 S LOOP 289 STE 600 PRIVATE OFFICE 630Lubbock, TX 79423-1372
Mailing Address109 W 27th St Rm 5sNew York, NY 10001-6208 · (833) 351-8255 · Fax (888) 815-3583
Fax(888) 815-3583
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2019
Enumeration DateApril 17, 2019
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1013570811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in TX · T2384✔ Licensed in CO · DR.0071529✔ Licensed in MS · 32339✔ Licensed in NY · 324874
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3223 S LOOP 289 STE 600 PRIVATE OFFICE 630, Lubbock, TX 79423

Secondary Practice Locations 3

Location 1109 W 27th St Suite 5SNew York, NY 10001 · Phone (833) 351-8255 · Fax (888) 815-3583
Location 210 Canebrake Blvd Ste 110Flowood, MS 39232-2212 · Phone (833) 351-8255 · Fax (888) 815-3583
Location 32373 Central Park Blvd Suite 100Denver, CO 80238 · Phone (833) 351-8255 · Fax (888) 815-3583

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Troy Simon Grantham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901131721
PECOS Enrollment IDI20230712001573, I20230712002819, I20231018002705
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Troy Grantham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Colorado, Mississippi and Texas enrollments
  • 79 clinicians in this Medicare group
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Troy Grantham's NPI number?

The NPI number for Troy Grantham is 1013570811. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Troy Grantham located?

Troy Grantham practices at 3223 S Loop 289 Ste 600 Private Office 630, Lubbock, TX 79423. The listed phone number is (833) 351-8255.

What is Troy Grantham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Troy Grantham enrolled in Medicare?

Yes. Troy Grantham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Troy Grantham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Grantham reassigns Medicare benefits to 2 organizations: Mccd Fl Psychiatry Services PA (Jacksonville, FL) and Mccd Psychiatry Services PLLC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Troy Grantham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troy Grantham accept?

Health plans from Baylor Scott and White Health Plan, CHRISTUS Health Plan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Insurance Company and 1 other insurer list Troy Grantham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Troy Grantham was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.