DR. TROY D CLOUSE MD
NPI 1750373833
Emergency Medicine in Elkhart, IN

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
600 EAST BLVD, EMERGENCY DEPARTMENT, ELKHART, IN 46514(574) 523-3161(574) 523-3221 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Troy D Clouse Md NPPES

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

DR. TROY D CLOUSE MD (NPI 1750373833) is an individual emergency medicine provider in Elkhart, Indiana, licensed in Indiana (01053909) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Hospital Claremore, and is a graduate of Medical College Of Ohio (1998).

NPPES Registry Identity

NPI1750373833
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TROY D CLOUSECredential: MD
Location Address600 EAST BLVD, EMERGENCY DEPARTMENTElkhart, IN 46514-2483
Mailing Address600 East Blvd, Emergency DepartmentElkhart, IN 46514-2483 · (574) 523-3161 · Fax (574) 523-3221
Fax(574) 523-3221
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1998
Enumeration DateAugust 16, 2005
Last NPPES UpdateDecember 20, 2011
NPI 1750373833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01053909
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
600 EAST BLVD, Elkhart, IN 46514

Other Identifiers 6

Other000000196952IN · Anthem
Medicaid104311635MI
Medicare UPINH38309IN
Medicaid200332130IN
Other930106366IN · Rail Road Medicare
Medicare PIN223220EEEIN

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. Troy D Clouse Md 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 ID5395750681
PECOS Enrollment IDI20230327002814, I20230327002917
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
258 services251 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
164 services159 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services90 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services40 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Hillcrest Hospital Cushing

Acute Care Hospitals · Cushing, OK
OwnershipProprietary
CMS Certification Number370099
Location1027 East Cherry StreetCushing, OK 74023 · Payne County
Emergency services

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK
OwnershipProprietary
CMS Certification Number370228
Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Eastern Oklahoma Medical Center

Critical Access Hospitals · Poteau, OK
OwnershipGovernment - Local
CMS Certification Number371337
Location105 Wall StreetPoteau, OK 74953 · Le Flore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.74
Promoting Interoperability100
Improvement Activities40
Cost51.95

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.

Emergency Medicine
600 EAST BLVD, EMERGENCY DEPARTMENT
ELKHART, IN 46514
Physician Assistant
600 EAST BLVD
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
600 EAST BLVD
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
600 EAST BLVD
ELKHART, IN 46514
Clinic/Center (Medical Specialty)
600 EAST BLVD
ELKHART, IN 46514
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
600 EAST BLVD
ELKHART, IN 46514
Pain Medicine (Pain Medicine)
600 EAST BLVD
ELKHART, IN 46514
Pharmacist
600 EAST BLVD
ELKHART, IN 46514

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 Clouse's NPI number?

The NPI number for Troy Clouse is 1750373833. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Troy Clouse located?

Troy Clouse practices at 600 East Blvd Emergency Department, Elkhart, IN 46514. The listed phone number is (574) 523-3161.

What is Troy Clouse's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Troy Clouse enrolled in Medicare?

Yes. Troy Clouse 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 Clouse accept?

Health plans from Medica list Troy Clouse 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 Clouse affiliated with any hospitals?

According to CMS data, Troy Clouse is affiliated with Hillcrest Hospital Claremore, Hillcrest Hospital Cushing, Hillcrest Hospital South, Bailey Medical Center, LLC and Eastern Oklahoma Medical Center.

When was this NPI record last updated?

The NPPES record for Troy Clouse was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.