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TERRY LYNN TROYER MD
NPI 1326031212
Family Medicine in Saint Edward, NE

Active since August 25, 2005PECOS Enrolled
92.39/100
CMS Quality Rating
1102 WATER ST, SAINT EDWARD, NE 68660(402) 678-2232(402) 678-2234 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 24, 2023, Oct 11, 2022, Jun 28, 2021 and 2 more (5 updates tracked since 2021).

About Terry Lynn Troyer Md NPPES

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

TERRY LYNN TROYER MD (NPI 1326031212) is an individual family medicine provider in Saint Edward, Nebraska, licensed in Nebraska (16445) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326031212
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTERRY LYNN TROYERCredential: MD
Location Address1102 WATER STSaint Edward, NE 68660-4478
Mailing AddressPo Box FSaint Edward, NE 68660-0167 · (402) 678-2232 · Fax (402) 678-2234
Phone(402) 678-2232
Fax(402) 678-2234
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateOctober 24, 20235 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1326031212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 16445
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.
1102 WATER ST, Saint Edward, NE 68660
Open in Google Maps ↗

Other Identifiers 1

Other35168NE · Bcbs Of Ne

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Blue Cross and Blue Shield of Nebraska 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 (PECOS)

Terry Lynn Troyer Md 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 Reassignments

2

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

Country Clinics PC
Same address
Clinic/Center
1102 WATER ST
St Edward, NE 68660
  • Reassigned Medicare billing, Nebraska enrollment
  • 2 clinicians in this Medicare group
NPI 1225063266 (402) 678-2232
City Of Genoa
11 mi
Primary Care
505 S PARK ST
Genoa, NE 68640
  • Reassigned Medicare billing, Nebraska enrollment
  • 9 clinicians in this Medicare group
NPI 1104859206 (402) 993-2206

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
125 services33 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
123 services16 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
79 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services46 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.
37 services35 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
36 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68660 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers67 claims141 services$5.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers26 claims33 services$0.99 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims510 services$4.69 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims205 services$5.86 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers35 claims35 services$44.60 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers23 claims23 services$111.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

BOONE COUNTY HEALTH CENTER
Clinic/Center (Rural Health)
1102 WATER ST
SAINT EDWARD, NE 68660
Boone County (402) 678-2232
COUNTRY CLINICS PC
Clinic/Center
1102 WATER ST
ST EDWARD, NE 68660
Boone County (402) 678-2232
JOYCE ANNE TROYER MD
General Practice
1102 WATER ST
SAINT EDWARD, NE 68660
Boone County (402) 678-2232
SARA DAWN MAHONY PA-C
Physician Assistant
1102 WATER ST
SAINT EDWARD, NE 68660
Boone County (402) 678-2232

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 Terry Troyer's NPI number?

The NPI number for Terry Troyer is 1326031212. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Terry Troyer located?

Terry Troyer practices at 1102 Water St, Saint Edward, NE 68660. The listed phone number is (402) 678-2232.

What is Terry Troyer's specialty?

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

Is Terry Troyer enrolled in Medicare?

Yes. Terry Troyer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Terry Troyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Troyer reassigns Medicare benefits to 2 organizations: Country Clinics PC (St Edward, NE) and City Of Genoa (Genoa, NE). 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 Terry Troyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Troyer accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Sanford Health Plan list Terry Troyer 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 Terry Troyer was last updated on October 24, 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.