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DR. TROY M TOMPKINS M.D.
NPI 1245219674
Family Medicine in Tucson, AZ

Active since January 13, 2006PECOS Enrolled
97.64/100
CMS Quality Rating
8290 S HOUGHTON RD, TUCSON, AZ 85747(520) 873-6200(520) 873-6222 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Troy M Tompkins M.d. NPPES

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

DR. TROY M TOMPKINS M.D. (NPI 1245219674) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (29115) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245219674
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TROY M TOMPKINSCredential: M.D.
Location Address8290 S HOUGHTON RDTucson, AZ 85747-9723
Mailing Address2202 N Forbes BlvdTucson, AZ 85745-1412 · (520) 873-6200 · Fax (520) 873-6222
Phone(520) 873-6200
Fax(520) 873-6222
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 22, 2011
✔ NPI 1245219674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 29115
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.
8290 S HOUGHTON RD, Tucson, AZ 85747
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Other Identifiers 3

Medicare UPIN65631
Medicare UPINH36908
Medicare PIN573651AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Troy M Tompkins M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Troy Tompkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Ihs Phoenix Area
248 mi
Critical Access
12033 AGENCY RD
Parker, AZ 85344
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1851678585 (928) 669-2137

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 7

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.
382 services284 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
261 services173 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
174 services174 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
70 services40 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.
69 services69 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.
66 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85747 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

MARCUS FIFE FNP-C
Nurse Practitioner (Family)
8290 S HOUGHTON RD
TUCSON, AZ 85747
Pima County (520) 694-1045
SMSJ TUCSON HOLDINGS, LLC
Radiology (Diagnostic Radiology)
8290 S HOUGHTON RD
TUCSON, AZ 85747
Pima County (520) 872-3100

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 Tompkins's NPI number?

The NPI number for Troy Tompkins is 1245219674. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Troy Tompkins located?

Troy Tompkins practices at 8290 S Houghton Rd, Tucson, AZ 85747. The listed phone number is (520) 873-6200.

What is Troy Tompkins's specialty?

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

Is Troy Tompkins enrolled in Medicare?

Yes. Troy Tompkins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Troy Tompkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Tompkins reassigns Medicare benefits to Dhhs Ihs Phoenix Area (Parker, AZ). 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 Troy Tompkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Troy Tompkins was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.