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TROY DON SCHMIDT MD
NPI 1831275429
Internal Medicine - Gastroenterology in Southlake, TX

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
505 S NOLEN DR, SUITE A, SOUTHLAKE, TX 76092(817) 424-1525(817) 424-3491 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Troy Don Schmidt Md NPPES

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

TROY DON SCHMIDT MD (NPI 1831275429) is an individual gastroenterology provider in Southlake, Texas, licensed in Texas (Q4841) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Alliance, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1831275429
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTROY DON SCHMIDTCredential: MD
Location Address505 S NOLEN DR, SUITE ASouthlake, TX 76092-9167
Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2200 · Fax (214) 231-2159
Phone(817) 424-1525
Fax(817) 424-3491
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 18, 2015
✔ NPI 1831275429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TX · Q4841✔ Licensed in SD · 5925
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5925 (SD)
505 S NOLEN DR, Southlake, TX 76092
Open in Google Maps ↗

Other Identifiers 4

OtherQ4841TX · Texas Medical License
Medicare UPINH78848
Medicare PINS101328SD
Medicare PINP00360530SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Don Schmidt 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 ID4688674591
PECOS Enrollment IDI20151005002187
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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
104 services103 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
78 services77 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
51 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 19

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

DR. JEFFREY A SMITH M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
DR. TIMOTHY E RITTER M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
ASHLEY NICOLE TODD MSN, APRN, FNP-C
Nurse Practitioner
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
DR. STEPHEN W LACEY M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
PAULINE NGUYEN ANP
Nurse Practitioner (Adult Health)
505 S NOLEN DR, SUITE A
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
KELSIE JORDYN SPECKNER PA-C
Physician Assistant
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
BRITTANY HO PA-C
Physician Assistant
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
DR. DAVID K SPADY M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525

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 Schmidt's NPI number?

The NPI number for Troy Schmidt is 1831275429. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Troy Schmidt located?

Troy Schmidt practices at 505 S Nolen Dr Suite A, Southlake, TX 76092. The listed phone number is (817) 424-1525.

What is Troy Schmidt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Troy Schmidt enrolled in Medicare?

Yes. Troy Schmidt 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 Schmidt accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Troy Schmidt 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 Schmidt affiliated with any hospitals?

According to CMS data, Troy Schmidt is affiliated with Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Troy Schmidt was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.