DR. TROY HAMILTON COVER M.D.
NPI 1427369610
Family Medicine in Sellersville, PA
About Dr. Troy Hamilton Cover M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TROY HAMILTON COVER M.D. (NPI 1427369610) is an individual family medicine provider in Sellersville, Pennsylvania, licensed in Pennsylvania (MD454391) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Accepted 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
Dr. Troy Hamilton Cover 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.
Medicare Billing Reassignments
14Medicare enrollment records show Troy Cover reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sellersville, PA 18960
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Fort Washington, PA 19034
- Reassigned Medicare billing, Pennsylvania enrollment
- 447 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 clinicians in this Medicare group
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Reading, PA 19604
- Reassigned Medicare billing, Pennsylvania enrollment
- 251 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 76 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 78 clinicians in this Medicare group
Scranton, PA 18510
- Reassigned Medicare billing, Pennsylvania enrollment
- 98 clinicians in this Medicare group
Harrisburg, PA 17109
- Reassigned Medicare billing, Pennsylvania enrollment
- 322 clinicians in this Medicare group
Honesdale, PA 18431
- Reassigned Medicare billing, Pennsylvania enrollment
- 34 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn State Health St. Joseph
Acute Care Hospitals · Reading, PAWayne Memorial Hospital
Acute Care Hospitals · Honesdale, PAWilkes-Barre General Hospital
Acute Care Hospitals · Wilkes-Barre, PALehigh Valley Hospital - Hazleton
Acute Care Hospitals · Hazleton, PACentra Health - Lynchburg Gen Hospital
Acute Care Hospitals · Lynchburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SELLERSVILLE, PA 18960
SELLERSVILLE, PA 18960
SELLERSVILLE, PA 18960
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 Cover's NPI number?
The NPI number for Troy Cover is 1427369610. It was assigned to this individual provider in the NPPES registry on June 23, 2010.
Where is Troy Cover located?
Troy Cover practices at 700 Lawn Ave, Sellersville, PA 18960. The listed phone number is (215) 453-4139.
What is Troy Cover's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Troy Cover enrolled in Medicare?
Yes. Troy Cover 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 Troy Cover's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Troy Cover reassigns Medicare benefits to 14 organizations: St Luke's Physician Group Inc (Sellersville, PA), Temple Physicians Inc (Fort Washington, PA), Pottstown Clinic Company LLC (Pottstown, PA), Temple Faculty Practice Plan, Inc (Philadelphia, PA), St. Joseph Medical Group (Reading, PA) and 9 more organizations, listed in the Medicare section above. 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 Troy Cover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Troy Cover accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Troy Cover 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 Cover affiliated with any hospitals?
According to CMS data, Troy Cover is affiliated with Penn State Health St. Joseph, Wayne Memorial Hospital, Wilkes-Barre General Hospital, Lehigh Valley Hospital - Hazleton and Centra Health - Lynchburg Gen Hospital.
When was this NPI record last updated?
The NPPES record for Troy Cover was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Troy Hamilton Cover, M.D. · NPI 1427369610
Family Medicine physician in Sellersville, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 23, 2010.
## Identity
- **NPI:** 1427369610 (Entity type: Individual)
- **Enumerated:** June 23, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD454391 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 700 LAWN AVE, Sellersville, PA 18960-1548
- **Phone:** (215) 453-4139 · **Fax:** (215) 453-4991
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): St Luke's Physician Group Inc (NPI 1558934067, Sellersville, PA); Temple Physicians Inc (NPI 1518396530, Fort Washington, PA); Pottstown Clinic Company LLC (NPI 1649341934, Pottstown, PA); Temple Faculty Practice Plan, Inc (NPI 1093298887, Philadelphia, PA); St. Joseph Medical Group (NPI 1750590881, Reading, PA); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1427369610) · Data from the CMS NPPES public registry.