Active NPI 1831190024 Individual Practitioner Male Practitioner

Dr. Troy Houston Middleton , MD

Neurological Surgery • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Middleton, MD is a certified Neurological Surgery practicing in Mobile, AL. With approximately 44 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1982, Dr. Middleton delivers high-quality medical care to the local community at 3280 DAUPHIN ST.

Dr. Middleton is affiliated with Imc-Neurosurgery Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3280 Dauphin St
Building A

Mobile, AL 366064060

Telephone 2514503700

Fax 2516623819

Associated Practice Facility / Clinic

🏢 Coastal Neurological Institute P.c. Facility NPI 1740212174

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Mobile, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +20.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

24 Specialists

Practicing in Mobile, AL (114 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Middleton (44 Years) 44 Yrs

Mobile Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$145.00	$75.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$72.00	$41.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$194.62	$109.82
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$145.00	$74.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$212.00	$159.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	20	$147.93	$121.60
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$109.17	$86.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$212.00	$158.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$140.00	$124.17
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$100.00	$81.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$149.00	$103.63
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	12	$2207.13	$241.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$212.00	$154.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	36	$140.00	$102.97
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$92.00	$67.85
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	15	$2309.00	$248.63
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$6040.67	$1018.77
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$2316.47	$423.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$149.00	$101.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$212.00	$153.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	44	$140.00	$101.88
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$90.00	$68.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$149.00	$100.55
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	15	$2309.00	$238.66
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$9061.00	$1562.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$212.00	$153.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	53	$140.00	$99.20
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$90.00	$67.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$149.00	$98.52
72148 MRI scan of lower spinal canal	20	20	$1338.00	$194.62
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	17	12	$1487.59	$183.91
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$5663.13	$900.23
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	12	$4156.96	$797.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$212.00	$151.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	68	$140.90	$97.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$149.00	$99.57
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$90.00	$67.74
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	16	$2309.00	$240.25
72148 MRI scan of lower spinal canal	24	24	$1338.00	$183.79
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$6002.91	$974.60
20931 Donor bone graft for spine surgery	19	19	$536.00	$103.09
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$2316.47	$407.77
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	17	12	$1957.35	$258.49
72040 X-ray of upper spine, 2-3 views	15	14	$90.00	$29.80
72141 MRI scan of upper spinal canal	14	14	$1291.00	$188.04
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$3310.17	$606.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$175.00	$129.37

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License AL 13777

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1831190024 (MN)

Hospital & Practice Group Affiliations

Imc-Neurosurgery Llc

3 Mobile Infirmary Cir, Mobile, AL 366073512

Phone: 2514356850

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Kelly Laclair , PA-C

Physician Assistant

NPI 1053736645

Physician Assistant (Certified)

Dr. Donald Tyler , MD

Neurological Surgery

NPI 1134120272

Doctor of Medicine (M.D.)

Dr. Ozgur Oztas , MD

Psychiatry & Neurology - Neurology

NPI 1174572747

Doctor of Medicine (M.D.)

Dr. Charles Markle , MD

Psychiatry & Neurology - Neurology

NPI 1194774927

Doctor of Medicine (M.D.)

Kristen Rosser , CRNP

Nurse Practitioner - Family

NPI 1255138699

Certified Registered Nurse Practitioner

Jeremy Rowe , PA-C

Physician Assistant - Surgical

NPI 1255356838

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2010

Registered at 3280 DAUPHIN ST, BUILDING A, MOBILE, AL 366064060 (Tel: 2514503700)

📍

Updated Business Mailing Address September 28, 2010

Registered at 3280 DAUPHIN ST, BUILDING A, MOBILE, AL 366064060 (Tel: 2514503700)

👤

Provider Name / Credentials Updated September 28, 2010

Recorded as TROY MIDDLETON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2010

Neurological Surgery (License #13777 in AL)

🟢

Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831190024

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2005

Last Update: September 28, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3280 Dauphin St, Building A

Mobile, AL 366064060

Phone: 2514503700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.