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TODD DAVID TROY PA-C
NPI 1790732188
Physician Assistant in Gahanna, OH

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
445 ROCKY FORK BLVD, GAHANNA, OH 43230(614) 383-7660(614) 383-7665 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2025, Oct 26, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2019).

About Todd David Troy Pa-c NPPES

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

TODD DAVID TROY PA-C (NPI 1790732188) is an individual physician assistant in Gahanna, Ohio, licensed in Ohio (50.003518RX) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1790732188
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTODD DAVID TROYCredential: PA-C
Location Address445 ROCKY FORK BLVDGahanna, OH 43230-3336
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 383-7660 · Fax (614) 383-7665
Phone(614) 383-7660
Fax(614) 383-7665
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 30, 2006
Last NPPES UpdateAugust 21, 20255 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1790732188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.003518RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 50.003518RX (OH)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 50.003518 (OH)
445 ROCKY FORK BLVD, Gahanna, OH 43230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Todd David Troy Pa-c 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 ID4789696998
PECOS Enrollment IDI20120712000546
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 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.

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.
66 services66 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
40 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services35 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.
30 services28 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
13 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 3

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

WHITNEY C. KHAIRA PA-C
Physician Assistant
445 ROCKY FORK BLVD
GAHANNA, OH 43230
Franklin County (614) 383-7660
HEALTHSERVE PRIMARY CARE, LLC
Family Medicine
445 ROCKY FORK BLVD
GAHANNA, OH 43230
Franklin County (614) 442-2431
HEALTHSERVE MEDICAL GROUP LLC
Family Medicine
445 ROCKY FORK BLVD
GAHANNA, OH 43230
Franklin County (614) 442-2431

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 Todd Troy's NPI number?

The NPI number for Todd Troy is 1790732188. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Todd Troy located?

Todd Troy practices at 445 Rocky Fork Blvd, Gahanna, OH 43230. The listed phone number is (614) 383-7660.

What is Todd Troy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Todd Troy enrolled in Medicare?

Yes. Todd Troy 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 Todd Troy accept?

Health plans from CareSource and MedMutual list Todd Troy 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 Todd Troy affiliated with any hospitals?

According to CMS data, Todd Troy is affiliated with Riverside Methodist Hospital and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Todd Troy was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.