CAITLYN TROSTEL MD
NPI 1346878568
Family Medicine in Jackson, TN

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
92.69/100
CMS Quality Rating
294 SUMMAR DR, JACKSON, TN 38301(731) 423-1932(731) 660-8739 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caitlyn Trostel Md NPPES

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

CAITLYN TROSTEL MD (NPI 1346878568) is an individual family medicine provider in Jackson, Tennessee, licensed in Tennessee (65089) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346878568
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAITLYN TROSTELCredential: MD
Location Address294 SUMMAR DRJackson, TN 38301-3915
Mailing Address210 Abraham DrJackson, TN 38305-7307 · (501) 204-9536
Fax(731) 660-8739
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1346878568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 65089
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.
294 SUMMAR DR, Jackson, TN 38301

Accepted Insurance

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

Caitlyn Trostel 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 ID1153745674
PECOS Enrollment IDI20220411002047
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 6

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.
109 services58 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.
40 services36 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.
19 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.39
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301

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 Caitlyn Trostel's NPI number?

The NPI number for Caitlyn Trostel is 1346878568. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Caitlyn Trostel located?

Caitlyn Trostel practices at 294 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 423-1932.

What is Caitlyn Trostel's specialty?

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

Is Caitlyn Trostel enrolled in Medicare?

Yes. Caitlyn Trostel 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.

What insurance does Caitlyn Trostel accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Caitlyn Trostel 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 Caitlyn Trostel affiliated with any hospitals?

According to CMS data, Caitlyn Trostel is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Caitlyn Trostel was last updated on June 28, 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.