DR. TROY MICHAEL MITCHELL MD
NPI 1073543328
Family Medicine in Emporia, VA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
727 N MAIN ST, EMPORIA, VA 23847(434) 348-4500(434) 348-4506 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2019, Jun 14, 2019, Mar 8, 2018 (3 updates tracked since 2018).

About Dr. Troy Michael Mitchell Md NPPES

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

DR. TROY MICHAEL MITCHELL MD (NPI 1073543328) is an individual family medicine provider in Emporia, Virginia, licensed in North Carolina (2010-01853) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Rockingham, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073543328
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TROY MICHAEL MITCHELLCredential: MD
Location Address727 N MAIN STEmporia, VA 23847
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(434) 348-4506
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2001
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 27, 20193 updates tracked since enumeration
NPI 1073543328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2010-01853
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 159498 (NC), 0101236399 (VA)
727 N MAIN ST, Emporia, VA 23847

Secondary Practice Locations 3

Location 1210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000
Location 258 Carroll StreetLebanon, VA 24266 · Phone (276) 883-8000 · Fax (276) 883-8101
Location 3245 Medical Park DrMarion, VA 24354-1100 · Phone (276) 378-1000 · Fax (276) 378-1105

Accepted 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

Dr. Troy Michael Mitchell 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 ID6204802663
PECOS Enrollment IDI20040907001206, I20140728000696
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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
260 services241 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
112 services105 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services74 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
47 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Rockingham

Acute Care Hospitals · Eden, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340060
Location117 E Kings HighwayEden, NC 27288 · Rockingham County
Emergency services Birthing friendly

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490013
Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23847 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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
Quality100
Improvement Activities40
Cost100

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.

Dietitian, Registered
727 N MAIN ST
EMPORIA, VA 23847
Internal Medicine
727 N MAIN ST
EMPORIA, VA 23847
General Acute Care Hospital
727 N MAIN ST
EMPORIA, VA 23847
Respiratory Therapist, Certified
727 N MAIN ST
EMPORIA, VA 23847
Radiology (Diagnostic Radiology)
727 N MAIN ST
EMPORIA, VA 23847
Emergency Medicine
727 N MAIN ST
EMPORIA, VA 23847
Emergency Medicine
727 N MAIN ST
EMPORIA, VA 23847
Medicare Defined Swing Bed Unit
727 N MAIN ST
EMPORIA, VA 23847

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 Mitchell's NPI number?

The NPI number for Troy Mitchell is 1073543328. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Troy Mitchell located?

Troy Mitchell practices at 727 N Main St, Emporia, VA 23847. The listed phone number is (434) 348-4500.

What is Troy Mitchell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Troy Mitchell enrolled in Medicare?

Yes. Troy Mitchell 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.

What insurance does Troy Mitchell accept?

Health plans from First Choice Next, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Troy Mitchell 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 Mitchell affiliated with any hospitals?

According to CMS data, Troy Mitchell is affiliated with Unc Rockingham and Sentara Halifax Regional Hospital.

When was this NPI record last updated?

The NPPES record for Troy Mitchell was last updated on August 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.