DR. TROY HOUSTON MIDDLETON III M.D.
NPI 1831190024
Neurological Surgery in Mobile, AL

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
3280 DAUPHIN ST, BUILDING A, MOBILE, AL 36606(251) 450-3700(251) 662-3819 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Troy Houston Middleton Iii M.d. NPPES

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

DR. TROY HOUSTON MIDDLETON III M.D. (NPI 1831190024) is an individual neurological surgery provider in Mobile, Alabama, licensed in Alabama (13777) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1982).

NPPES Registry Identity

NPI1831190024
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. TROY HOUSTON MIDDLETON IIICredential: M.D.
Location Address3280 DAUPHIN ST, BUILDING AMobile, AL 36606-4060
Mailing Address3280 Dauphin St, Building AMobile, AL 36606-4060 · (251) 450-3700 · Fax (251) 662-3819
Fax(251) 662-3819
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1982
Enumeration DateAugust 10, 2005
Last NPPES UpdateSeptember 28, 2010
NPI 1831190024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in AL · 13777
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

3280 DAUPHIN ST, Mobile, AL 36606

Other Identifiers 5

Medicare UPINC74567AL
Medicare PINN715137ND
Medicare ID-Type Unspecified80014AL
Medicaid1831190024MN
Medicare PIN000080014AL

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 Houston Middleton Iii 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 ID840233854
PECOS Enrollment IDI20110113000466
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.

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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36606 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,012 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%52 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
44%181 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%148 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
76%260 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%433 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 136 patients
Patients tobacco: 97% · 136 patients
100%23 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
47%260 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
28%260 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 181 patients
7%181 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

Hospitalist
3280 DAUPHIN ST, BUILDING B, SUITE 118
MOBILE, AL 36606
Nurse Practitioner (Acute Care)
3280 DAUPHIN ST, BLDG A 101
MOBILE, AL 36606
Home Health
3280 DAUPHIN ST
MOBILE, AL 36606
Neurological Surgery
3280 DAUPHIN ST, BUILDING A
MOBILE, AL 36606
Physician Assistant (Surgical)
3280 DAUPHIN ST, SUITE A
MOBILE, AL 36606
Case Management
3280 DAUPHIN ST, BUILDING C, SUITE 115
MOBILE, AL 36606
Physical Therapist
3280 DAUPHIN ST, SUITE B,100A
MOBILE, AL 36606
Occupational Therapist
3280 DAUPHIN ST, SUITE A103
MOBILE, AL 36606

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 Middleton's NPI number?

The NPI number for Troy Middleton is 1831190024. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Troy Middleton located?

Troy Middleton practices at 3280 Dauphin St Building A, Mobile, AL 36606. The listed phone number is (251) 450-3700.

What is Troy Middleton's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Troy Middleton enrolled in Medicare?

Yes. Troy Middleton 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 Middleton accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Troy Middleton 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.

When was this NPI record last updated?

The NPPES record for Troy Middleton was last updated on September 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.