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CONSTANTINE DEMETRIOS TROUPES MD, PHD
NPI 1174015911
Surgery - Vascular Surgery in Philadelphia, PA

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5401 OLD YORK RD BLDG SUITE404, PHILADELPHIA, PA 19141(215) 456-6178 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2023, Jun 11, 2018 (2 updates tracked since 2018).

About Constantine Demetrios Troupes Md, Phd NPPES

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

CONSTANTINE DEMETRIOS TROUPES MD, PHD (NPI 1174015911) is an individual vascular surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD482244) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Temple University School Of Medicine (2018).

NPPES Registry Identity

NPI1174015911
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameCONSTANTINE DEMETRIOS TROUPESCredential: MD, PHD
Location Address5401 OLD YORK RD BLDG SUITE404Philadelphia, PA 19141-3030
Mailing Address3401 N Broad St Fl 4Philadelphia, PA 19140-5103
Phone(215) 456-6178
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2018
Enumeration DateJune 6, 2018
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1174015911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · MD482244
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5401 OLD YORK RD BLDG SUITE404, Philadelphia, PA 19141
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Constantine Demetrios Troupes Md, Phd 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 ID2365797933
PECOS Enrollment IDI20231113001273
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 Constantine Troupes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Einstein Practice Plan, Inc.
Same address
Ophthalmology
5401 OLD YORK RD, SUITE 201
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1154419166 (215) 456-7150

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 10

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.
67 services59 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.
46 services35 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.
44 services43 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.
43 services37 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.
30 services30 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 through an Alternative Payment Model
Quality80.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

NICOLE G HEATH
Psychiatry & Neurology (Neurology)
5401 OLD YORK RD BLDG SUITE404
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7190

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 Constantine Troupes's NPI number?

The NPI number for Constantine Troupes is 1174015911. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Constantine Troupes located?

Constantine Troupes practices at 5401 Old York Rd Bldg Suite404, Philadelphia, PA 19141. The listed phone number is (215) 456-6178.

What is Constantine Troupes's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Constantine Troupes enrolled in Medicare?

Yes. Constantine Troupes 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 organization bills Medicare for Constantine Troupes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constantine Troupes reassigns Medicare benefits to Einstein Practice Plan, Inc. (Philadelphia, PA). The 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 Constantine Troupes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Constantine Troupes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Constantine Troupes 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 Constantine Troupes affiliated with any hospitals?

According to CMS data, Constantine Troupes is affiliated with Albert Einstein Medical Center and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Constantine Troupes was last updated on December 21, 2023. 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.