TROY SIBSON
NPI 1013925494
Obstetrics & Gynecology in Hartland, MI

Q: 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.

Q: What is Troy Sibson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: 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.

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment

80.59/100

CMS Quality Rating

11166 HIGHLAND RD, HARTLAND, MI 48353(810) 632-0092(810) 632-0308 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1013925494

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameTROY SIBSON

Location Address11166 HIGHLAND RDHartland, MI 48353-2702

Mailing Address11166 Highland RdHartland, MI 48353-2702 · (810) 632-0092 · Fax (810) 632-0308

Phone(810) 632-0092

Fax(810) 632-0308

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1997

Enumeration DateAugust 3, 2006

Last NPPES UpdateApril 13, 2015

✔ NPI 1013925494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4301070615

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11166 HIGHLAND RD, Hartland, MI 48353

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Other Identifiers 2

Medicare UPINP35120185MI

Other700H228210MI · Bcbsm/bcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3274507009

PECOS Enrollment IDI20040825001451

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.

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, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230069

Location620 Byron RdHowell, MI 48843 · Livingston County

Emergency services

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number230277

LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County

Emergency services Birthing friendly

Physician 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.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

80.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.55

Promoting Interoperability

100

Improvement Activities

Cost

52.03

Reported Quality Measures

Breast Cancer Screening

80%159 patients4/55-star benchmark: 93%

Cervical Cancer Screening

92%805 patients4/55-star benchmark: 98%

Chlamydia Screening for Women

61%260 patients

Controlling High Blood Pressure

59%37 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,289 patients4/55-star benchmark: 100%

e-Prescribing

99%618 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%799 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

93%864 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

35%1,216 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 778 patients

Patients screened: 98% · 778 patients

99%151 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%607 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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Obstetrics & Gynecology