DR. MICHAEL J TROY M.D.
NPI 1184613242
Obstetrics & Gynecology in San Antonio, TX

Q: What is Michael Troy's NPI number?

The NPI number for Michael Troy is 1184613242. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Q: What is Michael Troy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Troy was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

222 W CYPRESS ST STE 200, SAN ANTONIO, TX 78212(210) 226-9705(210) 223-4555 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Jan 28, 2019 (2 updates tracked since 2019).

On this page

About Dr. Michael J Troy M.d. NPPES

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

DR. MICHAEL J TROY M.D. (NPI 1184613242) is an individual obstetrics & gynecology provider in San Antonio, Texas, licensed in Texas (J2993) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1991).

NPPES Registry Identity

NPI1184613242

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. MICHAEL J TROYCredential: M.D.

Location Address222 W CYPRESS ST STE 200San Antonio, TX 78212-5509

Mailing Address6600 Chase Oaks Blvd Ste 160Plano, TX 75023-2381 · (214) 459-4200

Phone(210) 226-9705

Fax(210) 223-4555

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1991

Enumeration DateOctober 20, 2005

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1184613242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · J2993

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

222 W CYPRESS ST STE 200, San Antonio, TX 78212

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Other Identifiers 1

Medicaid105543603TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Michael J Troy 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 ID5092756247

PECOS Enrollment IDI20090723000119

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 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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

44 services44 patients

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.

26 services17 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.

17 services14 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

81.57/100

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

Scored as part of a group practice

Quality

85.05

Promoting Interoperability

100

Improvement Activities

Cost

53.51

Reported Quality Measures

Breast Cancer Screening

78%60 patients4/55-star benchmark: 93%

Cervical Cancer Screening

73%315 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

58%515 patients2/55-star benchmark: 100%

e-Prescribing

99%954 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

25%272 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%475 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 374 patients

0%374 patients

Provide Patients Electronic Access to Their Health Information

94%950 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.

Other Providers at the Same Location NPPES 2

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

DR. SARINA ISABELLA GARCIA DO

Obstetrics & Gynecology

222 W CYPRESS ST STE 200
SAN ANTONIO, TX 78212

Bexar County (210) 226-9705

NANCY JANE LANDEZ MD

Obstetrics & Gynecology

222 W CYPRESS ST STE 200
SAN ANTONIO, TX 78212

Bexar County (210) 226-9705

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 Michael Troy's NPI number?

The NPI number for Michael Troy is 1184613242. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Michael Troy located?

Michael Troy practices at 222 W Cypress St Ste 200, San Antonio, TX 78212. The listed phone number is (210) 226-9705.

What is Michael Troy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Troy enrolled in Medicare?

Yes. Michael Troy 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 Michael Troy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Michael Troy 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 Michael Troy was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.