JAMES MICHAEL TROYER MD
NPI 1053958090
Hospitalist in Rockford, IL

Active since December 10, 2019PECOS EnrolledAccepts Medicare Assignment
5970 CHURCHVIEW DR, ROCKFORD, IL 61107(815) 971-8990(815) 971-9978 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2025, May 10, 2024, Apr 4, 2023 and 2 more (5 updates tracked since 2019).

About James Michael Troyer Md NPPES

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

JAMES MICHAEL TROYER MD (NPI 1053958090) is an individual hospitalist provider in Rockford, Illinois, licensed in Texas (U8601) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053958090
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJAMES MICHAEL TROYERCredential: MD
Location Address5970 CHURCHVIEW DRRockford, IL 61107-2574
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Fax(815) 971-9978
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 10, 2019
Last NPPES UpdateDecember 17, 20255 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1053958090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in TX · U8601✔ Licensed in NC · 2025-03551
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License U8601 (TX)
5970 CHURCHVIEW DR, Rockford, IL 61107

Secondary Practice Locations 3

Location 13333 Silas Creek PkwyWinston Salem, NC 27103-3013 · Phone (336) 718-8389
Location 26624 Fannin St Fl 19Houston, TX 77030-2312 · Phone (713) 442-0000
Location 33830 S Pine AveMilwaukee, WI 53207-3950 · Phone (414) 732-0071

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

James Michael Troyer Md 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 ID2860833100
PECOS Enrollment IDI20260115000128
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

3

Medicare enrollment records show James Troyer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
200 HOSPITAL AVE
Jefferson, NC 28640
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
Hematology & Oncology
75 EMERSON BAY RD STE 104
Carolina Shores, NC 28467
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group
Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 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 61107 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Advanced Practice Midwife
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Obstetrics & Gynecology
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Internal Medicine
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Student in an Organized Health Care Education/Training Program
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Occupational Therapist
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Pediatrics
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Internal Medicine
5970 CHURCHVIEW DR
ROCKFORD, IL 61107

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 James Troyer's NPI number?

The NPI number for James Troyer is 1053958090. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is James Troyer located?

James Troyer practices at 5970 Churchview Dr, Rockford, IL 61107. The listed phone number is (815) 971-8990.

What is James Troyer's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Troyer enrolled in Medicare?

Yes. James Troyer 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 James Troyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Troyer reassigns Medicare benefits to 3 organizations: Novant Medical Group Inc (Jefferson, NC), Novant Health Medical Group Coastal Region, LLC (Carolina Shores, NC) and Kelsey-Seybold Medical Group, PLLC (Houston, TX). 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 James Troyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Troyer accept?

Health plans from Cigna Healthcare list James Troyer 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 James Troyer was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.