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DR. TROY C HESS O.D.
NPI 1477717148
Optometrist in Fairless Hills, PA

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
110 LINCOLN HWY, #12, FAIRLESS HILLS, PA 19030(215) 946-7054 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Troy C Hess O.d. NPPES

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

DR. TROY C HESS O.D. (NPI 1477717148) is an individual optometrist in Fairless Hills, Pennsylvania, licensed in Pennsylvania (OEG002068) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2008).

NPPES Registry Identity

NPI1477717148
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TROY C HESSCredential: O.D.
Location Address110 LINCOLN HWY, #12Fairless Hills, PA 19030-1011
Mailing Address348 Green Ln, Apt 3Philadelphia, PA 19128-4723 · (570) 259-1080
Phone(215) 946-7054
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2008
Enumeration DateJuly 11, 2008
✔ NPI 1477717148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG002068
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
110 LINCOLN HWY, Fairless Hills, PA 19030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 and accepts Medicare assignment

Dr. Troy C Hess O.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.

PECOS PAC ID9436380839
PECOS Enrollment IDI20140328000555
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 Reassignment

Medicare enrollment records show Troy Hess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hess Family Eye Care, PC
122 mi
Optometrist
423 E MAIN ST
Middleburg, PA 17842
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1801053566 (570) 837-0112

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 7

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 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.
123 services122 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
75 services75 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.
29 services25 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
20 services18 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.
20 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19030 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 6

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

NEHA SHARMA DMD
Dentist
110 LINCOLN HWY
FAIRLESS HILLS, PA 19030
Bucks County (215) 269-6525
AC DENTAL OF LANGHORNE, PC
Clinic/Center (Dental)
110 LINCOLN HWY
FAIRLESS HILLS, PA 19030
Bucks County (215) 269-6525
SADI PA, P.C.
Clinic/Center (Dental)
110 LINCOLN HWY
FAIRLESS HILLS, PA 19030
Bucks County (215) 269-6525
VITALINA YUZKIV EFDA
Dental Assistant
110 LINCOLN HWY
FAIRLESS HILLS, PA 19030
Bucks County (215) 269-6525
LINH MY TRAN DMD
Dentist (Prosthodontics)
110 LINCOLN HWY
FAIRLESS HILLS, PA 19030
Bucks County (215) 269-6525
SAMIR GUPTA DMD
Dentist (General Practice)
110 LINCOLN HWY
FAIRLESS HILLS, PA 19030
Bucks County (215) 269-6525

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 Hess's NPI number?

The NPI number for Troy Hess is 1477717148. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Troy Hess located?

Troy Hess practices at 110 Lincoln Hwy #12, Fairless Hills, PA 19030. The listed phone number is (215) 946-7054.

What is Troy Hess's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Troy Hess enrolled in Medicare?

Yes. Troy Hess 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 organization bills Medicare for Troy Hess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Hess reassigns Medicare benefits to Hess Family Eye Care, PC (Middleburg, PA). The 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 Hess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troy Hess accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 6 other insurers list Troy Hess 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 Troy Hess was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.