TROY DALE MORRIS M.D.
NPI 1891792883
Family Medicine in Southaven, MS

NPI Status: Active since July 05, 2005

Contact Information

75 PHYSICIANS LN
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 393-7722
Fax: (662) 393-7756

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Durable Medical Equipment
Physician Visit Costs
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 37
Family Medicine
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About TROY MORRIS

This page provides the complete NPI Profile along with additional information for Troy Morris, a primary care provider established in Southaven, Mississippi with a medical specialization in Family Medicine and more than 37 years of experience. He graduated from University Of Mississippi School Of Medicine in 1990. The healthcare provider is registered in the NPI registry with number 1891792883 assigned on July 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 12866 (MS). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI: 1891792883
Provider Name: TROY DALE MORRIS M.D.
Gender: Male
Entity Type: Individual
Location Address: 75 PHYSICIANS LN SOUTHAVEN, MS 38671
Location Phone: (662) 393-7722
Location Fax: (662) 393-7756
Mailing Address: 75 PHYSICIANS LN SOUTHAVEN, MS 38671
Mailing Phone: (662) 393-7722
Mailing Fax: (662) 393-7756
Medical School Name: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year: 1990
Is Sole Proprietor?: No
Enumeration Date: 07-05-2005
Last Update Date: 01-27-2025
Code Navigator

A primary care provider (PCP) like Troy Morris sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
License No.: 12866
License State: MS
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Oscar Health Plan, Inc.

Bronze Classic Standard - HMO
Bronze Elite + PCP Saver Plus - HMO
Bronze Simple Chronic Care CKM - HMO
Gold Classic Standard - HMO
Silver Classic Standard - HMO
Silver Simple - HMO
Silver Simple Chronic Care CKM - HMO

Oscar Insurance Company

Bronze Classic Standard - EPO
Bronze Elite + PCP Saver Plus - EPO
Bronze Simple - EPO
Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
Bronze Simple Chronic Care CKM - EPO
Bronze Simple Diabetes - EPO
Gold Classic Standard - EPO
Gold Elite - EPO
Silver Classic - EPO
Silver Classic Standard - EPO
Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
Silver Simple Chronic Care CKM - EPO
Silver Simple Diabetes - EPO
Silver Simple PCP Saver - EPO
Silver Simple Women's Health with Menopause Benefits - EPO

UnitedHealthcare

UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
UHC Bronze Essential (No Referrals) - EPO
UHC Bronze Standard (No Referrals) - EPO
UHC Gold Advantage (Virtual Urgent Care, No Referrals) - EPO
UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) - EPO
UHC Gold Standard (No Referrals) - EPO
UHC Silver Advantage (Virtual Urgent Care, No Referrals) - EPO
UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
UHC Silver Copay Focus (Virtual Urgent Care, No Referrals) - EPO
UHC Silver Standard (No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Troy Morris is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Troy Morris is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 1557379401
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20091228000162
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
29 DME suppliers used 132 Medicare Claims 303 Services Paid
DME-Other DME (DE000N)
Normal, low and high calibrator solution / chips (HCPCS:A4256)
4 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
17 DME suppliers used 59 Medicare Claims 71 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
5 DME suppliers used 73 Medicare Claims 77 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
3 DME suppliers used 25 Medicare Claims 25 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
3 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Wheelchairs (DD000N)
Lightweight wheelchair (HCPCS:K0003)
2 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
3 DME suppliers used 21 Medicare Claims 24 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Administration of vaccine
Advance care planning, first 30 minutes
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
Annual alcohol misuse screening, 15 minutes
Annual depression screening, 15 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Blood glucose (sugar) level
Blood potassium level
Blood test, basic group of blood chemicals (calcium, total)
Blood test, comprehensive group of blood chemicals
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Complete ultrasound scan of abdomen
Creatinine level to test for kidney function or muscle injury
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
Detection test by nucleic acid for multiple types influenza virus
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Hemoglobin a1c level
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Injection of drug or substance under skin or into muscle
Injection, brompheniramine maleate, per 10 mg
Injection, dexamethasone sodium phosphate, 1 mg
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Insertion of needle into vein for collection of blood sample
Kidney function blood test panel
Manual urinalysis test with examination using microscope, automated
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Phosphate level
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
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
Pneumococcal vaccine, 13-valent
Pneumococcal vaccine, 23-valent
Psa (prostate specific antigen) measurement, total
Red blood cell sedimentation rate, to detect inflammation, automated
Removal of impacted ear wax by washing
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Stool analysis for blood, by fecal hemoglobin determination by immunoassay
Testing for presence of drug, read by direct observation
Thyroxine (thyroid chemical), free
Transitional care management services for problem of high complexity
Transitional care management services for problem of moderate complexity
Uric acid level, blood
Urine microalbumin (protein) analysis
Vitamin d-3 level
X-ray of abdomen, 2 views
X-ray of chest, 2 views

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $20.12 for a new patient copayment and $23.05 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38671 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $80.5
Minimum New Patient Price $51.65
Maximum New Patient Price $159.18

Average New Patient Copayment $20.12
Minimum New Patient Copayment $12.91
Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $92.2
Minimum Established Patient Price $16.15
Maximum Established Patient Price $129.61

Average Established Patient Copayment $23.05
Minimum Established Patient Copayment $4.03
Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Breast Cancer Screening	83%	512
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Care Plan	100%	950
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Documentation of Current Medications in the Medical Record	100%	3751
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. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing	69%	3938
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Risk Assessment	100%	151
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
Health Information Exchange	1%	155
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Immunization Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Implementation of improvements that contribute to more timely communication of test results	Yes	N/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of medication management practice improvements	Yes	N/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Medication Reconciliation	99%	435
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.
Patient-Specific Education	30%	771
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.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	96%	1759
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	88%	155
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
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	96%	1390
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record	Yes	N/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access	96%	771
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 certain information.
Secure Messaging	56%	771
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 message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk Analysis	Yes	N/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Troy Morris is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
BAPTIST MEMORIAL HOSPITAL DESOTO	7601 SOUTHCREST PARKWAY SOUTHAVEN, MS 38671	(662) 772-4000	Acute Care Hospitals
METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL	4250 BETHEL ROAD OLIVE BRANCH, MS 38654	(662) 932-9000	Acute Care Hospitals

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891792883, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 4 + 9 + 4 + 8 + 1 + 6 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3

This NPI is valid

The calculated check digit is 3, which matches the last digit of 1891792883.

Other Providers at the Same Location

The following 4 providers are registered at the same or a nearby location.

ANTRONETTE LAURA MCKENZIE M.D.

Family Medicine

75 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 393-7722

JOSEPH ANTHONY VISCONTI FNP

Nurse Practitioner (Family)

75 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 393-7722

MRS. JESSICA DAWN COTTER FNP-C

Nurse Practitioner (Family)

75 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 393-7722

IRENE WILSON FNP-C

Nurse Practitioner (Primary Care)

75 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 393-7722

About TROY MORRIS

Location Map

Specialty - Primary Taxonomy

Family Medicine

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 1557379401

PECOS Enrollment ID: I20091228000162

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

Durable Medical Equipment

Areas of Expertise

Administration of influenza virus vaccine

Administration of pneumococcal vaccine

Administration of vaccine

Advance care planning, first 30 minutes

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

Annual alcohol misuse screening, 15 minutes

Annual depression screening, 15 minutes

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

Blood glucose (sugar) level

Blood potassium level

Blood test, basic group of blood chemicals (calcium, total)

Blood test, comprehensive group of blood chemicals

Blood test, lipids (cholesterol and triglycerides)

Blood test, thyroid stimulating hormone (tsh)

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

Complete ultrasound scan of abdomen

Creatinine level to test for kidney function or muscle injury

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)

Detection test by nucleic acid for multiple types influenza virus

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

Established patient office or other outpatient visit, 20-29 minutes

Established patient office or other outpatient visit, 30-39 minutes

Established patient office or other outpatient visit, 40-54 minutes

Hemoglobin a1c level

Influenza vaccine split virus, preservative free

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

Injection of drug or substance under skin or into muscle

Injection, brompheniramine maleate, per 10 mg

Injection, dexamethasone sodium phosphate, 1 mg

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Insertion of needle into vein for collection of blood sample

Kidney function blood test panel

Manual urinalysis test with examination using microscope, automated

New patient office or other outpatient visit, 30-44 minutes

New patient office or other outpatient visit, 45-59 minutes

Phosphate level

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

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

Pneumococcal vaccine, 13-valent

Pneumococcal vaccine, 23-valent

Psa (prostate specific antigen) measurement, total

Red blood cell sedimentation rate, to detect inflammation, automated

Removal of impacted ear wax by washing

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

Stool analysis for blood, by fecal hemoglobin determination by immunoassay

Testing for presence of drug, read by direct observation

Thyroxine (thyroid chemical), free

Transitional care management services for problem of high complexity

Transitional care management services for problem of moderate complexity

Uric acid level, blood

Urine microalbumin (protein) analysis

Vitamin d-3 level

X-ray of abdomen, 2 views

X-ray of chest, 2 views

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Quality Reporting

Find Provider Hospital Affiliations - Privileges