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Active NPI 1013097385 Individual Practitioner Male Practitioner

Dr. Sebastian J Troia , MD

Ophthalmology • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sebastian Troia, MD is a certified Ophthalmology practicing in Omaha, NE. With approximately 50 years of clinical experience since graduating from Creighton University School Of Medicine in 1976, Dr. Troia delivers high-quality medical care to the local community at 515 N 98TH ST.

Dr. Troia is affiliated with Pediatric Ophthalmology Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 N 98th St

Omaha, NE 681142344

Telephone 4023999400
Fax 4023998170
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Omaha, NE

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
50 Yrs +23.2 yrs vs City Avg
City Avg: 26.8 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
74 Specialists

Practicing in Omaha, NE (125 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Troia (50 Years) 50 Yrs
Omaha Specialty Average (26.8 Years) 26.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $302.00 $118.64

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NE 13695

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Pediatric Ophthalmology Associates Pc

515 N 98th St, Omaha, NE 681142368

Phone: 4023999400

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Andrew Troia , MD

Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist

NPI 1386908572

Doctor of Medicine (M.D.)

NPI 1538397344

Doctor of Medicine (M.D.)

NPI 1790868578

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2013

Registered at 515 N 98TH ST, OMAHA, NE 681142344 (Tel: 4023999400)

📍
Updated Business Mailing Address February 25, 2013

Registered at 515 N 98TH ST, OMAHA, NE 681142344 (Tel: 4023999400)

👤
Provider Name / Credentials Updated February 25, 2013

Recorded as SEBASTIAN TROIA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2013

Ophthalmology (License #13695 in NE)

🟢
Initial NPI Registration & Enumeration October 17, 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: 1013097385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: February 25, 2013
Sole Proprietor: No

Mailing Address

515 N 98th St

Omaha, NE 681142344

Phone: 4023999400

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.