TROY D PAYNER MD
NPI 1922082866
Neurological Surgery in Carmel, IN

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
13345 ILLINOIS ST, CARMEL, IN 46032(317) 396-1300 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Troy D Payner Md NPPES

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

TROY D PAYNER MD (NPI 1922082866) is an individual neurological surgery provider in Carmel, Indiana, licensed in Indiana (01042552A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1922082866
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameTROY D PAYNERCredential: MD
Location Address13345 ILLINOIS STCarmel, IN 46032-3318
Mailing Address13345 Illinois StCarmel, IN 46032-3318 · (317) 396-1300
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateDecember 5, 2005
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
NPI 1922082866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in IN · 01042552A
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.
13345 ILLINOIS ST, Carmel, IN 46032

Other Identifiers 1

Medicaid100421610AIN

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

Troy D Payner 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 ID5193824209
PECOS Enrollment IDI20100406000495
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services30 patients
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.
37 services18 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.
33 services33 patients
Use of operating microscope 69990
An operating microscope is a device that magnifies small areas, allowing surgeons to see fine details clearly during procedures. It's often used for delicate operations like eye or nerve surgery, improving precision and outcomes.
26 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services25 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.
23 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
13345 ILLINOIS ST
CARMEL, IN 46032
Registered Nurse
13345 ILLINOIS ST
CARMEL, IN 46032
Neurological Surgery
13345 ILLINOIS ST
CARMEL, IN 46032
Physician Assistant
13345 ILLINOIS ST
CARMEL, IN 46032
Nurse Practitioner (Family)
13345 ILLINOIS ST
CARMEL, IN 46032
Nurse Practitioner (Adult Health)
13345 ILLINOIS ST
CARMEL, IN 46032
Registered Nurse
13345 ILLINOIS ST
CARMEL, IN 46032
Neurological Surgery
13345 ILLINOIS ST
CARMEL, IN 46032

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 Payner's NPI number?

The NPI number for Troy Payner is 1922082866. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Troy Payner located?

Troy Payner practices at 13345 Illinois St, Carmel, IN 46032. The listed phone number is (317) 396-1300.

What is Troy Payner's specialty?

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

Is Troy Payner enrolled in Medicare?

Yes. Troy Payner 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 Payner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Troy Payner 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 Payner affiliated with any hospitals?

According to CMS data, Troy Payner is affiliated with Hendricks Regional Health, Ascension St Vincent Kokomo, Parkview Regional Medical Center, Ascension St Vincent Hospital and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Troy Payner was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.