DR. RICHARD MARC TROUM DO
NPI 1609805027
Internal Medicine - Gastroenterology in Cape May Court House, NJ

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
307 STONE HARBOR BLVD, CAPE MAY COURT HOUSE, NJ 08210(609) 465-1511(609) 465-5310 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Marc Troum Do NPPES

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

DR. RICHARD MARC TROUM DO (NPI 1609805027) is an individual gastroenterology provider in Cape May Court House, New Jersey, licensed in New Jersey (MB49876) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and is a graduate of Philadelphia College Of Osteopathic Medicine (1985).

NPPES Registry Identity

NPI1609805027
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RICHARD MARC TROUMCredential: DO
Location Address307 STONE HARBOR BLVDCape May Court House, NJ 08210-2170
Mailing Address307 Stone Harbor BlvdCape May Court House, NJ 08210-2170 · (609) 465-1511 · Fax (609) 465-5310
Fax(609) 465-5310
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1985
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609805027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · MB49876
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
307 STONE HARBOR BLVD, Cape May Court House, NJ 08210

Other Identifiers 3

Medicare UPINE87773NJ
Medicare ID-Type Unspecified084968NJ
Medicaid4528905NJ

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

Dr. Richard Marc Troum Do 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 ID1355391319
PECOS Enrollment IDI20110502000372
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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
293 services291 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.
197 services197 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.
156 services156 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
145 services145 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
131 services130 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.
120 services120 patients

Hospital Affiliations CMS Care Compare

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08210 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Gastroenterology)
307 STONE HARBOR BLVD
CAPE MAY COURT HOUSE, NJ 08210
Specialist
307 STONE HARBOR BLVD
CAPE MAY COURT HOUSE, NJ 08210
Podiatrist (Foot & Ankle Surgery)
307 STONE HARBOR BLVD
CAPE MAY COURT HOUSE, NJ 08210
Internal Medicine (Gastroenterology)
307 STONE HARBOR BLVD
CAPE MAY COURT HOUSE, NJ 08210
Internal Medicine
307 STONE HARBOR BLVD, STE 3
CAPE MAY COURT HOUSE, NJ 08210
Specialist
307 STONE HARBOR BLVD
CAPE MAY COURT HOUSE, NJ 08210
Specialist
307 STONE HARBOR BLVD
CAPE MAY COURT HOUSE, NJ 08210

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 Richard Troum's NPI number?

The NPI number for Richard Troum is 1609805027. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Richard Troum located?

Richard Troum practices at 307 Stone Harbor Blvd, Cape May Court House, NJ 08210. The listed phone number is (609) 465-1511.

What is Richard Troum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Richard Troum enrolled in Medicare?

Yes. Richard Troum 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 Richard Troum accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Richard Troum 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 Richard Troum affiliated with any hospitals?

According to CMS data, Richard Troum is affiliated with Cape Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Richard Troum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.