TROY GILSON MD
NPI 1275621252
Psychiatry & Neurology - Psychiatry in Cleveland, TN

Q: What is Troy Gilson's NPI number?

The NPI number for Troy Gilson is 1275621252. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Troy Gilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Troy Gilson was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

940 S OCOEE ST, CLEVELAND, TN 37311(423) 479-5454 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Troy Gilson Md NPPES

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

TROY GILSON MD (NPI 1275621252) is an individual psychiatry provider in Cleveland, Tennessee, licensed in Tennessee (20193) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1988).

NPPES Registry Identity

NPI1275621252

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameTROY GILSONCredential: MD

Location Address940 S OCOEE STCleveland, TN 37311-2601

Mailing Address118 N Church StMurfreesboro, TN 37130-3636 · (615) 278-2241 · Fax (615) 904-9182

Phone(423) 479-5454

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1988

Enumeration DateOctober 11, 2006

Last NPPES UpdateOctober 10, 2023

NPPES CertifiedOctober 10, 2023

✔ NPI 1275621252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TN · 20193

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

940 S OCOEE ST, Cleveland, TN 37311

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Troy Gilson 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 ID2769463439

PECOS Enrollment IDI20040527001113

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

Medicare enrollment records show Troy Gilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Life Bridges, Inc

2.0 mi

Family Medicine

764 OLD CHATTANOOGA PK.
Cleveland, TN 37311

Reassigned Medicare billing, Tennessee enrollment
7 clinicians in this Medicare group

NPI 1700928876 (423) 472-5268

Volunteer Behavioral Health Care System

100 mi

Counselor

1504 WILLIAMS DR
Murfreesboro, TN 37129

Reassigned Medicare billing, Tennessee enrollment
66 clinicians in this Medicare group

NPI 1043267107 (615) 278-2241

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 3

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 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.

149 services36 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

61 services27 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

52 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 3

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

MARIAN WILSON ROWLAND APN

Nurse Practitioner (Psychiatric/Mental Health)

940 S OCOEE ST
CLEVELAND, TN 37311

Bradley County (423) 479-5454

DAVID WEBB LPC

Counselor (Mental Health)

940 S OCOEE ST
CLEVELAND, TN 37311

Bradley County (423) 476-5454

DR. BILLIE YVONNE HUBBARD EDD, LCSW

Social Worker (Clinical)

940 S OCOEE ST
CLEVELAND, TN 37311

Bradley County (423) 479-5454

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 Gilson's NPI number?

The NPI number for Troy Gilson is 1275621252. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Troy Gilson located?

Troy Gilson practices at 940 S Ocoee St, Cleveland, TN 37311. The listed phone number is (423) 479-5454.

What is Troy Gilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Troy Gilson enrolled in Medicare?

Yes. Troy Gilson 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 Troy Gilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Gilson reassigns Medicare benefits to 2 organizations: Life Bridges, Inc (Cleveland, TN) and Volunteer Behavioral Health Care System (Murfreesboro, TN). 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 Troy Gilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troy Gilson accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Troy Gilson 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 Troy Gilson was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.