TROY TEMPLETON PA
NPI 1316477656
Physician Assistant in Ridgway, PA

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
104 METOXET ST, RIDGWAY, PA 15853(814) 772-8122 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jun 19, 2017 (2 updates tracked since 2017).

About Troy Templeton Pa NPPES

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

TROY TEMPLETON PA (NPI 1316477656) is an individual physician assistant in Ridgway, Pennsylvania and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greensburg, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316477656
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTROY TEMPLETONCredential: PA
Location Address104 METOXET STRidgway, PA 15853-1932
Mailing Address306 Benshoff RdSummerhill, PA 15958-5108 · (814) 341-6490
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1316477656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
104 METOXET ST, Ridgway, PA 15853

Secondary Practice Location 1

Location 15126 Route 30 Ste 300Greensburg, PA 15601-7835 · Phone (724) 836-3027

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

Troy Templeton Pa 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 ID1052684966
PECOS Enrollment IDI20170829000015
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 9

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.
62 services59 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.
53 services52 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
36 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
31 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15853 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%281 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%2,419 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%430 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%2,338 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 463 patients
Patients totalRate: 0% · 463 patients
0%463 patients5/55-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 8

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

Physician Assistant
104 METOXET ST
RIDGWAY, PA 15853
Nurse Practitioner (Family)
104 METOXET ST
RIDGWAY, PA 15853
Physician Assistant (Medical)
104 METOXET ST, SUITE A
RIDGWAY, PA 15853
Family Medicine
104 METOXET ST
RIDGWAY, PA 15853
Family Medicine
104 METOXET ST
RIDGWAY, PA 15853
Family Medicine
104 METOXET ST
RIDGWAY, PA 15853
Physical Therapist
104 METOXET ST
RIDGWAY, PA 15853
Physical Therapist
104 METOXET ST
RIDGWAY, PA 15853

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 Templeton's NPI number?

The NPI number for Troy Templeton is 1316477656. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Troy Templeton located?

Troy Templeton practices at 104 Metoxet St, Ridgway, PA 15853. The listed phone number is (814) 772-8122.

What is Troy Templeton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Troy Templeton enrolled in Medicare?

Yes. Troy Templeton 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.

When was this NPI record last updated?

The NPPES record for Troy Templeton was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.