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TROY A. DOWERS M.D.
NPI 1841497716
Family Medicine in Saint Louis, MO

Active since July 02, 2007PECOS Enrolled
10990 NEW HALLS FERRY RD STE 1, SAINT LOUIS, MO 63136(314) 788-6444(314) 788-6504 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 28, 2025, Jul 10, 2024 (2 updates tracked since 2024).

About Troy A. Dowers M.d. NPPES

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

TROY A. DOWERS M.D. (NPI 1841497716) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2012003977) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841497716
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTROY A. DOWERSCredential: M.D.
Location Address10990 NEW HALLS FERRY RD STE 1Saint Louis, MO 63136-4471
Mailing Address10990 New Halls Ferry Rd Ste 1Saint Louis, MO 63136-4471 · (314) 788-6444 · Fax (314) 788-6504
Phone(314) 788-6444
Fax(314) 788-6504
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1841497716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2012003977✔ Licensed in IL · 036171001
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.
10990 NEW HALLS FERRY RD STE 1, Saint Louis, MO 63136
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Secondary Practice Locations 2

Location 11000 Burr Ridge Pkwy Ste 201Burr Ridge, IL 60527-0864 · Phone (312) 818-4650
Location 21254 Main StImperial, MO 63052-3861 · Phone (636) 741-3130 · Fax (636) 741-3131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Troy A. Dowers M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Troy Dowers reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
9.2 mi
Cardiovascular Disease
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1376598599 (314) 344-6000
Vpa PC
12 mi
Family Medicine
8710 MANCHESTER RD
Saint Louis, MO 63144
  • Reassigned Medicare billing, Missouri and Illinois enrollments
  • Also billed through NPI 1629692785 (Illinois)
  • 61 clinicians in this Medicare group
NPI 1073130142 (314) 961-3570
Ssm Medical Group, Inc.
20 mi
Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1700966207 (636) 496-5000
Dedicated Missouri Holding, LLC
1,060 mi
Internal Medicine
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Missouri enrollment
  • 24 clinicians in this Medicare group
NPI 1053958082 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
209 services102 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
157 services91 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
49 services42 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
38 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
32 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES

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

DEDICATED MISSOURI HOLDING, LLC
Non-Pharmacy Dispensing Site
10990 NEW HALLS FERRY RD STE 1
SAINT LOUIS, MO 63136
St. Louis County (314) 788-6444

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 Dowers's NPI number?

The NPI number for Troy Dowers is 1841497716. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Troy Dowers located?

Troy Dowers practices at 10990 New Halls Ferry Rd Ste 1, Saint Louis, MO 63136. The listed phone number is (314) 788-6444.

What is Troy Dowers's specialty?

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

Is Troy Dowers enrolled in Medicare?

Yes. Troy Dowers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Troy Dowers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Dowers reassigns Medicare benefits to 4 organizations: Ssm Health Care St. Louis (Bridgeton, MO), Vpa PC (Saint Louis, MO), Ssm Medical Group, Inc. (Fenton, MO) and Dedicated Missouri Holding, LLC (Miami Gardens, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Troy Dowers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Troy Dowers was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.