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DR. THOMAS GRAHAM TROOP M.D.
NPI 1104893403
Family Medicine in Aledo, IL

Active since March 06, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas Graham Troop M.d. NPPES

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

DR. THOMAS GRAHAM TROOP M.D. (NPI 1104893403) is an individual family medicine provider in Aledo, Illinois, licensed in Montana (6457) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of Southern Illinois University School Of Medicine (1986).

NPPES Registry Identity

NPI1104893403
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS GRAHAM TROOPCredential: M.D.
Location Address372 230TH STAledo, IL 61231-8628
Mailing Address1233 N 30th StBillings, MT 59101-0127 · (406) 237-3850 · Fax (406) 237-3855
Phone(406) 366-0148
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1986
Enumeration DateMarch 6, 2006
Last NPPES UpdateFebruary 6, 2019
✔ NPI 1104893403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 6457
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.
372 230TH ST, Aledo, IL 61231
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Other Identifiers 1

Medicaid082329MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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. Thomas Graham Troop M.d. 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 ID8123011053
PECOS Enrollment IDI20040406001607
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 Thomas Troop reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Healthcare
909 mi
Family Medicine
16 N MILES AVE
Hardin, MT 59034
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Scl Health Montana
  • 186 clinicians in this Medicare group
NPI 1043266109 (406) 665-2205
Hospitalist Medicine Physicians Of Montana - Tcs PC
1,143 mi
Internal Medicine
2400 CONTINENTAL DR
Butte, MT 59701
  • Reassigned Medicare billing, Montana enrollment
  • 69 clinicians in this Medicare group
NPI 1902567183 (406) 723-6556
Cogent Healthcare Of Montana P C
1,226 mi
Internal Medicine
2827 FORT MISSOULA RD
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 155 clinicians in this Medicare group
NPI 1053569525 (406) 728-4100

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
514 services275 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
189 services186 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
152 services86 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services17 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61231 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
84%244 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$23.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier57 claims57 services$94.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$36.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Thomas Troop's NPI number?

The NPI number for Thomas Troop is 1104893403. It was assigned to this individual provider in the NPPES registry on March 6, 2006.

Where is Thomas Troop located?

Thomas Troop practices at 372 230th St, Aledo, IL 61231. The listed phone number is (406) 366-0148.

What is Thomas Troop's specialty?

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

Is Thomas Troop enrolled in Medicare?

Yes. Thomas Troop 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 Thomas Troop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Troop reassigns Medicare benefits to 3 organizations: St Vincent Healthcare (Hardin, MT), Hospitalist Medicine Physicians Of Montana - Tcs PC (Butte, MT) and Cogent Healthcare Of Montana P C (Missoula, MT). 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 Thomas Troop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Troop accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Thomas Troop 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 Thomas Troop affiliated with any hospitals?

According to CMS data, Thomas Troop is affiliated with St Vincent Healthcare.

When was this NPI record last updated?

The NPPES record for Thomas Troop was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.