Active NPI 1730110206 Individual Practitioner Male Practitioner

Dr. Troy Marvin Nelson , DO, PharmD, MPH

Internal Medicine • Mayfield, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Nelson, DO, PharmD, MPH is a certified Internal Medicine practicing in Mayfield, KY. With approximately 25 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 2001, Dr. Nelson delivers high-quality medical care to the local community at 211 S 8TH ST.

Dr. Nelson maintains professional affiliations with Ch Mssp Services Ky Llc, Arcare, Curana Health Of Kentucky Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility visit, subsequent nursing facility care with moderate level of medical decision making, per day, 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

211 S 8th St

Mayfield, KY 420662203

Telephone 2708047710

Fax 2708047722

Associated Practice Facility / Clinic

🏢 Arcare Facility NPI 1194263236

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mayfield, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +7.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Mayfield, KY (1608 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (25 Years) 25 Yrs

Mayfield Specialty Average (18.0 Years) 18.0 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
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	317	88	$87.00	$37.26
99306 Initial nursing facility visit, typically 45 minutes per day	269	196	$327.00	$169.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	157	66	$133.00	$68.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	115	53	$176.00	$99.86
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	12	$256.00	$123.72
71046 X-ray of chest, 2 views	13	11	$64.29	$20.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	354	277	$327.00	$171.31
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	311	100	$87.00	$37.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	150	75	$133.00	$69.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	114	46	$176.00	$99.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	31	27	$256.00	$125.39
80305 Testing for presence of drug, read by direct observation	16	15	$22.68	$12.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	312	98	$87.00	$40.81
99306 Initial nursing facility visit, typically 45 minutes per day	269	210	$327.00	$154.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	100	58	$133.00	$64.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	72	35	$176.00	$84.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	41	34	$256.00	$120.81
71046 X-ray of chest, 2 views	13	11	$64.21	$21.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	123	45	$87.00	$41.98
99306 Initial nursing facility visit, typically 45 minutes per day	107	90	$327.00	$159.85
83036 Hemoglobin A1C level	93	77	$29.84	$9.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	92	39	$133.00	$65.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	90	38	$176.00	$86.88
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	22	$256.00	$124.20
81003 Automated urinalysis test	21	12	$5.68	$2.25
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	15	$65.12	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	314	82	$133.00	$66.61
99306 Initial nursing facility visit, typically 45 minutes per day	83	73	$327.00	$161.93
83036 Hemoglobin A1C level	78	59	$30.21	$9.65
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	44	35	$256.00	$125.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	39	28	$87.00	$42.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	22	$176.00	$87.88
81003 Automated urinalysis test	19	13	$7.81	$2.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	319	93	$65.00	$41.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	307	92	$100.00	$65.45
99306 Initial nursing facility visit, typically 45 minutes per day	129	123	$200.00	$159.29
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	116	74	$65.00	$41.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	71	53	$100.00	$65.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	18	$160.00	$98.78
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	53	46	$190.00	$124.18
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	24	$190.00	$124.18
99213 Established patient office or other outpatient visit, typically 15 minutes	32	16	$111.25	$65.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	20	$104.00	$69.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	12	$130.00	$86.87
G0444 Annual depression screening, 5 to 15 minutes	11	11	$20.00	$15.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	391	131	$100.00	$66.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	251	96	$65.00	$42.52
99306 Initial nursing facility visit, typically 45 minutes per day	105	104	$200.00	$159.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	69	$100.00	$65.86
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	72	53	$65.00	$42.40
99306 Initial nursing facility visit, typically 45 minutes per day	64	63	$200.00	$159.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	15	$160.00	$101.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	30	$104.00	$69.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	42	31	$190.00	$124.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	29	$130.00	$87.24
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	35	27	$190.00	$124.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	17	$60.00	$37.71
81002 Urinalysis, manual test	15	12	$17.10	$3.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$295.00	$194.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	200	102	$65.00	$42.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	165	101	$100.00	$65.21
99306 Initial nursing facility visit, typically 45 minutes per day	53	53	$200.00	$158.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	26	$130.00	$86.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	14	$160.00	$100.06
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$110.00	$67.81
80305 Testing for presence of drug, read by direct observation	13	12	$46.00	$14.66

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 02797

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Clinic/Center - Primary Care

NUCC Taxonomy Code: 261QP2300X

State License KY 02797KY

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64071806 (KY)

Hospital & Practice Group Affiliations

Arcare

110 Kings Dr, Mayfield, KY 420663602

Phone: 2708047710

Curana Health Of Kentucky Llc

4965 Us Hwy 42, Louisville, KY 402226375

Phone: 3379919276

Ch Mssp Services Ky Llc

4965 Us Hwy 42, Louisville, KY 402226375

Phone: 3379919276

Practice Associates & Co-Workers

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

5 Associated Practitioners

Megan Speed , APRN

Nurse Practitioner

NPI 1235721150

Advanced Practice Registered Nurse

Lacie Parham , APRN

Nurse Practitioner - Family

NPI 1255901013

Advanced Practice Registered Nurse

Dr. Robin Floyd , MD

General Practice

NPI 1518988682

Doctor of Medicine (M.D.)

Tiffany Newhouse

Nurse Practitioner - Family

NPI 1558988014

Michelle Arrowood

Social Worker

NPI 1760375844

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2017

Registered at 211 S 8TH ST, MAYFIELD, KY 420662203 (Tel: 2708047710)

📍

Updated Business Mailing Address March 10, 2017

Registered at PO BOX 497, AUGUSTA, AR 720060497 (Tel: 8703472534)

👤

Provider Name / Credentials Updated March 10, 2017

Recorded as TROY NELSON, D.O.,PHARM.D.,M.P.H.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Internal Medicine (License #02797 in KY)

✅

NPI Profile Active November 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2015

Registered at 150 WEST BEAR TRACK ROAD, CAMPBELLSVILLE, KY 427188709 (Tel: 2704658133)

📍

Updated Business Mailing Address November 19, 2015

Registered at 150W BEAR TRACK RD, CAMPBELLSVILLE, KY 427188709 (Tel: 2704658133)

👤

Provider Name / Credentials Updated November 19, 2015

Recorded as TROY NELSON, D.O.,PHARM.D.,M.P.H.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2015

Internal Medicine (License #02797 in KY)

🟢

Initial NPI Registration & Enumeration July 05, 2006

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: 1730110206

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: March 10, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 497

Augusta, AR 720060497

Phone: 8703472534

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.