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JOSEPH L TROISE M.D.
NPI 1285629345
Obstetrics & Gynecology in Salem, VA

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1900 ELECTRIC RD STE 1030, SALEM, VA 24153(540) 772-3650(540) 772-3650 Get Directions Write a Review

NPPES record last updated: January 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joseph L Troise M.d. NPPES

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

JOSEPH L TROISE M.D. (NPI 1285629345) is an individual obstetrics & gynecology provider in Salem, Virginia, licensed in Virginia (0101054316) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and is a graduate of Temple University School Of Medicine (1992).

NPPES Registry Identity

NPI1285629345
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOSEPH L TROISECredential: M.D.
Location Address1900 ELECTRIC RD STE 1030Salem, VA 24153-7474
Mailing Address4726 Glenbrook DrRoanoke, VA 24018-2850 · (540) 819-9777
Phone(540) 772-3650
Fax(540) 772-3650
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1992
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJanuary 12, 2025
NPPES CertifiedJanuary 12, 2025
✔ NPI 1285629345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101054316
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.
1900 ELECTRIC RD STE 1030, Salem, VA 24153
Open in Google Maps ↗

Other Identifiers 2

Medicaid6207626VA
Medicaid1285629345VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Joseph L Troise 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 ID7113822867
PECOS Enrollment IDI20031210000333
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 Joseph Troise reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lewis Gale Physicians LLC
0.1 mi
Internal Medicine
1802 BRAEBURN DR
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 188 clinicians in this Medicare group
NPI 1902977705 (540) 772-3671
Hugh Chatham Memorial Hospital, Inc
64 mi
Orthopaedic Surgery
502 S MAIN ST
Galax, VA 24333
  • Reassigned Medicare billing, North Carolina enrollment
  • 90 clinicians in this Medicare group
NPI 1568600047 (276) 236-9393
Granville Health System
103 mi
Internal Medicine
103 PROFESSIONAL PARK STE C
Oxford, NC 27565
  • Reassigned Medicare billing, North Carolina enrollment
  • 91 clinicians in this Medicare group
NPI 1457526907 (919) 690-3000

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.
39 services26 patients
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.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

KRISTIN CONRAD CNM
Advanced Practice Midwife
1900 ELECTRIC RD STE 1030
SALEM, VA 24153
Salem City (540) 774-6000
MS. LAURA GRACE GAYTON C.N.M.
Nurse Practitioner
1900 ELECTRIC RD STE 1030
SALEM, VA 24153
Salem City (540) 774-6000
REBECCA WHITE CNM
Advanced Practice Midwife
1900 ELECTRIC RD STE 1030
SALEM, VA 24153
Salem City (540) 774-6000

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 Joseph Troise's NPI number?

The NPI number for Joseph Troise is 1285629345. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Joseph Troise located?

Joseph Troise practices at 1900 Electric Rd Ste 1030, Salem, VA 24153. The listed phone number is (540) 772-3650.

What is Joseph Troise's specialty?

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

Is Joseph Troise enrolled in Medicare?

Yes. Joseph Troise 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 Joseph Troise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Troise reassigns Medicare benefits to 3 organizations: Lewis Gale Physicians LLC (Salem, VA), Hugh Chatham Memorial Hospital, Inc (Galax, VA) and Granville Health System (Oxford, NC). 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 Joseph Troise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Troise accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Joseph Troise 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 Joseph Troise affiliated with any hospitals?

According to CMS data, Joseph Troise is affiliated with Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Troise was last updated on January 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.