DR. TROY HENRY CARON DO
NPI 1033182050
Orthopaedic Surgery in West Plains, MO

Q: What is Troy Caron's NPI number?

The NPI number for Troy Caron is 1033182050. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Troy Caron's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Troy Caron was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 09, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1100 N KENTUCKY AVE, WEST PLAINS, MO 65775(417) 256-9111 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 23, 2018, Mar 21, 2017 (2 updates tracked since 2017).

On this page

About Dr. Troy Henry Caron Do NPPES

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

DR. TROY HENRY CARON DO (NPI 1033182050) is an individual orthopaedic surgery provider in West Plains, Missouri, licensed in Missouri (2007019176) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Texas County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033182050

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. TROY HENRY CARONCredential: DO

Location Address1100 N KENTUCKY AVEWest Plains, MO 65775-2029

Mailing Address621 S New Ballas Rd Ste 5015bSaint Louis, MO 63141-8270 · (314) 251-1826 · Fax (314) 251-1827

Phone(417) 256-9111

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2000

Enumeration DateFebruary 9, 2006

Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1033182050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in MO · 2007019176✔ Licensed in PA · OS016905

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1100 N KENTUCKY AVE, West Plains, MO 65775

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Secondary Practice Locations 2

Location 12515 E German IvySpringfield, MO 65804-6742 · Phone (855) 688-7837

Location 2621 S New Ballas Rd Ste 5015BSaint Louis, MO 63141-8270 · Phone (314) 251-1826 · Fax (314) 251-1827

Other Identifiers 6

Medicaid271719100FL

Medicaid102897372PA

Medicaid166568003AR

Medicaid1033182050MO

Medicaid072795400MD

Other431560263MO · Tricare West

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Troy Henry Caron Do 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 ID4981633591

PECOS Enrollment IDI20071221000183

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 Reassignment

Medicare enrollment records show Troy Caron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ozarks Medical Center

Same address

General Acute Care Hospital

1100 N KENTUCKY AVE
West Plains, MO 65775

Reassigned Medicare billing, Missouri enrollment
338 clinicians in this Medicare group

NPI 1831115641 (417) 256-9111

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

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

174 services125 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

133 services93 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

75 services75 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

45 services15 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

32 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

25 services22 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

21 services11 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

14 services14 patients

Aspiration of bone marrow for spine bone graft 20939

Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.

13 services13 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas County Memorial Hospital

Acute Care Hospitals · Houston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260024

Location1333 Sam Houston BoulevardHouston, MO 65483 · Texas County

Emergency services Birthing friendly

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260078

Location1100 Kentucky AveWest Plains, MO 65775 · Howell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65775 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

1 supplier15 claims15 services$3,759.79 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier21 claims21 services$23.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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