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DR. TROY MARVIN NELSON D.O.,PHARM.D.,M.P.H.
NPI 1730110206
Internal Medicine in Mayfield, KY

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
211 S 8TH ST, MAYFIELD, KY 42066(270) 804-7710(270) 804-7722 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Troy Marvin Nelson D.o.,pharm.d.,m.p.h. NPPES

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

DR. TROY MARVIN NELSON D.O.,PHARM.D.,M.P.H. (NPI 1730110206) is an individual internal medicine provider in Mayfield, Kentucky, licensed in Kentucky (02797) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1730110206
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TROY MARVIN NELSONCredential: D.O.,PHARM.D.,M.P.H.
Location Address211 S 8TH STMayfield, KY 42066-2203
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534
Phone(270) 804-7710
Fax(270) 804-7722
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2001
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 10, 2017
✔ NPI 1730110206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 02797
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 02797KY (KY)
211 S 8TH ST, Mayfield, KY 42066
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Other Identifiers 5

Medicare UPIN0933401KY
Medicare UPINH89795KY
Medicaid64071806KY
Medicare PIN00428KY
Medicare PINK026710KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Marvin Nelson D.o.,pharm.d.,m.p.h. 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 ID2365341781
PECOS Enrollment IDI20040106000000
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 Reassignments

4

Medicare enrollment records show Troy Nelson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arcare
22 mi
Federally Qualified Health Center (FQHC)
3360 WAYNE SULLIVAN DR
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
NPI 1598186116 (270) 443-9474
Doc Marvin LLC
22 mi
Internal Medicine
544 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1659903896 (270) 933-9310
Ch Mssp Services Ky LLC
197 mi
Internal Medicine
4965 US HIGHWAY 42 STE 1000
Louisville, KY 40222
  • Reassigned Medicare billing, Kentucky enrollment
  • 32 clinicians in this Medicare group
NPI 1649064171 (337) 408-0797
Curana Health Of Kentucky LLC
197 mi
Nurse Practitioner
4965 US HIGHWAY 42 STE 1000
Louisville, KY 40222
  • Reassigned Medicare billing, Kentucky enrollment
  • 55 clinicians in this Medicare group
NPI 1124328323 (337) 991-9276

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 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 nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
317 services88 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
269 services196 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
157 services66 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
115 services53 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
14 services12 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Marshall County Hospital

Critical Access Hospitals · Benton, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181327
Location615 Old Symsonia RoadBenton, KY 42025 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42066 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers25 claims92 services$4.95 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$119.48 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$31.27 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers34 claims34 services$183.56 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

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

ROBIN FLOYD MD
General Practice
211 S 8TH ST
MAYFIELD, KY 42066
Graves County (270) 804-7710

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 Nelson's NPI number?

The NPI number for Troy Nelson is 1730110206. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Troy Nelson located?

Troy Nelson practices at 211 S 8th St, Mayfield, KY 42066. The listed phone number is (270) 804-7710.

What is Troy Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Troy Nelson enrolled in Medicare?

Yes. Troy Nelson 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 Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Nelson reassigns Medicare benefits to 4 organizations: Arcare (Paducah, KY), Doc Marvin LLC (Paducah, KY), Ch Mssp Services Ky LLC (Louisville, KY) and Curana Health Of Kentucky LLC (Louisville, KY). 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 Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troy Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield list Troy Nelson 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 Nelson affiliated with any hospitals?

According to CMS data, Troy Nelson is affiliated with Mercy Health - Lourdes Hospital, Baptist Health Paducah and Marshall County Hospital.

When was this NPI record last updated?

The NPPES record for Troy Nelson was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.