TROY SIBSON
NPI 1013925494
Obstetrics & Gynecology in Hartland, MI
About Troy Sibson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TROY SIBSON (NPI 1013925494) is an individual obstetrics & gynecology provider in Hartland, Michigan, licensed in Michigan (4301070615) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mercy Livingston Hospital, and is a graduate of University Of Michigan Medical School (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 Sibson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Troy Sibson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 407 clinicians in this Medicare group
Marshall, MI 49068
- Reassigned Medicare billing, Michigan enrollment
- 28 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Mercy Livingston Hospital
Acute Care Hospitals · Howell, MIHuron Valley-Sinai Hospital
Acute Care Hospitals · Commerce Township, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48353 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sibson's NPI number?
The NPI number for Troy Sibson is 1013925494. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Troy Sibson located?
Troy Sibson practices at 11166 Highland Rd, Hartland, MI 48353. The listed phone number is (810) 632-0092.
What is Troy Sibson's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Troy Sibson enrolled in Medicare?
Yes. Troy Sibson 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 Sibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Troy Sibson reassigns Medicare benefits to 2 organizations: Vhs Physicians Of Michigan (Southfield, MI) and Obhg Michigan - Direct PC (Marshall, MI). 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 Sibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Troy Sibson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Troy Sibson 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.
Is Troy Sibson affiliated with any hospitals?
According to CMS data, Troy Sibson is affiliated with Saint Joseph Mercy Livingston Hospital and Huron Valley-Sinai Hospital.
When was this NPI record last updated?
The NPPES record for Troy Sibson was last updated on April 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Troy Sibson · NPI 1013925494
Obstetrics & Gynecology physician in Hartland, Michigan. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1013925494 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 4301070615 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 11166 HIGHLAND RD, Hartland, MI 48353-2702
- **Phone:** (810) 632-0092 · **Fax:** (810) 632-0308
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vhs Physicians Of Michigan (NPI 1073827101, Southfield, MI); Obhg Michigan - Direct PC (NPI 1164116570, Marshall, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1997
## Record status
- **NPPES last updated:** April 13, 2015
- **Other identifiers:** Medicare UPIN P35120185 (MI); Other 700H228210 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1013925494) · Data from the CMS NPPES public registry.