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TROY OLAN DAWSON M.D.
NPI 1831175256
Family Medicine in Neligh, NE

Active since December 17, 2005PECOS EnrolledAccepts Medicare Assignment
85.52/100
CMS Quality Rating
109 W 11TH ST, NELIGH, NE 68756(402) 887-5440(402) 887-4564 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Troy Olan Dawson M.d. NPPES

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

TROY OLAN DAWSON M.D. (NPI 1831175256) is an individual family medicine provider in Neligh, Nebraska, licensed in Nebraska (19812) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of University Of Nebraska College Of Medicine (1994).

NPPES Registry Identity

NPI1831175256
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTROY OLAN DAWSONCredential: M.D.
Location Address109 W 11TH STNeligh, NE 68756-1065
Mailing AddressPo Box 109Neligh, NE 68756-0109 · (402) 887-5440 · Fax (402) 887-4564
Phone(402) 887-5440
Fax(402) 887-4564
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1994
Enumeration DateDecember 17, 2005
Last NPPES UpdateDecember 27, 2013
✔ NPI 1831175256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 19812
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
109 W 11TH ST, Neligh, NE 68756
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Other Identifiers 2

Medicare PIN267299NE
MedicaidNE19812NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Troy Olan Dawson M.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 ID2062473515
PECOS Enrollment IDI20041019001027
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

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Antelope Memorial Hospital

Critical Access Hospitals · Neligh, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281326
LocationP O Box 229, 102 West 9th StNeligh, NE 68756 · Antelope County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68756 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

85.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

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
5 suppliers40 claims55 services$5.26 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers13 claims2,250 services$1.59 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.98 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.45 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers18 claims18 services$41.03 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$111.58 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 9

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

ANGELA M SUCHA PA-C
Physician Assistant
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440
SHARON A GOSSMAN APRN
Nurse Practitioner
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440
WILL JOSEPH FEHRINGER
Physician Assistant (Medical)
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440
CAROL LOUISE ANDERSON APRN
Nurse Practitioner (Gerontology)
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440
PATRICIA A GOOD APRN
Nurse Practitioner
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440
ANTELOPE MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440
ANTELOPE MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440
DR. ROGER PAUL RUDLOFF M.D.
Family Medicine
109 W 11TH ST
NELIGH, NE 68756
Antelope County (402) 887-5440

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 Dawson's NPI number?

The NPI number for Troy Dawson is 1831175256. It was assigned to this individual provider in the NPPES registry on December 17, 2005.

Where is Troy Dawson located?

Troy Dawson practices at 109 W 11th St, Neligh, NE 68756. The listed phone number is (402) 887-5440.

What is Troy Dawson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Troy Dawson enrolled in Medicare?

Yes. Troy Dawson 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 Dawson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Troy Dawson 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 Dawson affiliated with any hospitals?

According to CMS data, Troy Dawson is affiliated with Faith Regional Health Services and Antelope Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Troy Dawson was last updated on December 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.