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TROY WAYNE SIMMONS D.P.M.
NPI 1396817201
Podiatrist in Portland, OR

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST STE 223, PORTLAND, OR 97213(503) 963-2964(503) 963-2966 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2025, Nov 4, 2024, Nov 10, 2021 (3 updates tracked since 2021).

About Troy Wayne Simmons D.p.m. NPPES

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

TROY WAYNE SIMMONS D.P.M. (NPI 1396817201) is an individual podiatrist in Portland, Oregon, licensed in Oregon (DP00356) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1396817201
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTROY WAYNE SIMMONSCredential: D.P.M.
Location Address5050 NE HOYT ST STE 223Portland, OR 97213-2980
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 963-2964
Fax(503) 963-2966
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2000
Enumeration DateNovember 15, 2006
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1396817201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in OR · DP00356✔ Licensed in WA · PO00000767
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5050 NE HOYT ST STE 223, Portland, OR 97213
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Secondary Practice Location 1

Location 14212 NE Broadway Ste 101Portland, OR 97213-1422 · Phone (503) 963-2964 · Fax (503) 963-2966

Other Identifiers 2

Medicaid8480519WA
Medicaid241290OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Troy Wayne Simmons D.p.m. 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 ID6709857683
PECOS Enrollment IDI20040804000426
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 11

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
258 services131 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
102 services57 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.
93 services63 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
83 services20 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.
76 services76 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
71 services49 patients

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
6 suppliers17 claims34 services$54.91 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
5 suppliers14 claims76 services$35.34 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 3

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

OREGON CLINIC PC
Durable Medical Equipment & Medical Supplies
5050 NE HOYT ST STE 223
PORTLAND, OR 97213
Multnomah County (503) 963-2964
ZACKERY DAVID NANCE DPM
Podiatrist
5050 NE HOYT ST STE 223
PORTLAND, OR 97213
Multnomah County (503) 963-2964
DR. COLIN MATTHEW MIZUO DPM
Podiatrist
5050 NE HOYT ST STE 223
PORTLAND, OR 97213
Multnomah County (503) 963-2964

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 Simmons's NPI number?

The NPI number for Troy Simmons is 1396817201. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Troy Simmons located?

Troy Simmons practices at 5050 NE Hoyt St Ste 223, Portland, OR 97213. The listed phone number is (503) 963-2964.

What is Troy Simmons's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Troy Simmons enrolled in Medicare?

Yes. Troy Simmons 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 Troy Simmons accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Troy Simmons 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 Troy Simmons affiliated with any hospitals?

According to CMS data, Troy Simmons is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Troy Simmons was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.