Active NPI 1841274552 Individual Practitioner Male Practitioner

Dr. Troy A Edwards , DO

Internal Medicine • Lancaster, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Edwards, DO is a certified Internal Medicine practicing in Lancaster, OH. With approximately 33 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 1993, Dr. Edwards delivers high-quality medical care to the local community at 1043 PLEASANTVILLE RD.

Dr. Edwards maintains professional affiliations with Lakeland Regional Health Systems Inc, Legacy Healthcare Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, annual wellness visit; includes a personalized prevention plan of service (pps), initial visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1043 Pleasantville Rd

Lancaster, OH 431303339

Telephone 7404381339

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lancaster, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +14.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

38 Specialists

Practicing in Lancaster, OH (5516 Statewide)

Telehealth Adoption Rate

10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (33 Years) 33 Yrs

Lancaster Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	103	$130.00	$72.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$155.00	$105.87
81003 Automated urinalysis test	11	11	$15.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	170	$128.36	$70.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	55	55	$170.00	$164.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$154.27	$104.61
G0444 Annual depression screening, 5 to 15 minutes	31	31	$35.00	$17.09
81003 Automated urinalysis test	30	21	$15.00	$2.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$125.00	$111.04
G0180 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	21	19	$103.46	$50.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$100.00	$67.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$136.25	$100.58

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	494	108	$80.00	$64.61
99213 Established patient office or other outpatient visit, typically 15 minutes	463	283	$100.00	$67.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	374	242	$135.00	$99.42
99306 Initial nursing facility visit, typically 45 minutes per day	120	95	$138.00	$135.86
85610 Blood test, clotting time	93	31	$18.00	$5.28
G0179 Physician re-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 to affirm the initial imp	91	44	$70.00	$38.19
G0180 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	81	70	$90.00	$49.87
81002 Urinalysis, manual test	38	29	$8.00	$3.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	13	$18.00	$17.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	14	$95.00	$85.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$68.00	$40.32
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	24	24	$125.00	$122.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$125.00	$107.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$185.33	$135.05
71020 X-ray of chest, 2 views, front and side	15	14	$55.00	$25.57
94640 Inhalation treatment for airway obstruction or sputum production	14	14	$20.00	$16.53
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$76.00	$15.65
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$110.00	$69.81

Medical Specialties & State Licenses

CMS Verified: 2024-03-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34006005

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL OS20728

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0992190 (OH)

Hospital & Practice Group Affiliations

Lakeland Regional Health Systems Inc

1324 Lakeland Hill Blvd, Lakeland, FL 338054543

Phone: 8636871100

Legacy Healthcare Services Inc

17470 Brookside Trace Ct, Tampa, FL 336476201

Phone: 8134435042

Secondary Practice Locations

300 Parkview Pl

Lakeland, FL 338054550

Phone: 8636871300

Career & Practice History Timeline

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

16 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Internal Medicine (License #OS20728 in FL)

📍

Updated Practice Location January 30, 2024

Registered at 1043 PLEASANTVILLE RD, LANCASTER, OH 431303339 (Tel: 7404381339)

📍

Updated Business Mailing Address January 30, 2024

Registered at PO BOX 9783, COLUMBUS, OH 432090783 (Tel: 7404381339)

✅

NPI Profile Active May 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 02, 2017

Registered at 1550 SHERIDAN DR, SUITE 202, LANCASTER, OH 431301381 (Tel: 7406540232)

📍

Updated Business Mailing Address May 02, 2017

Registered at 1550 SHERIDAN DR, SUITE 202, LANCASTER, OH 431301381 (Tel: 7406540232)

👤

Provider Name / Credentials Updated May 02, 2017

Recorded as TROY EDWARDS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2017

Internal Medicine (License #34006005 in OH)

📍

Updated Practice Location January 24, 2017

Registered at 2222 WELCOME PL, COLUMBUS, OH 432097813 (Tel: 6145336800)

📍

Updated Business Mailing Address January 24, 2017

Registered at 5400 FRANTZ RD STE 250, DUBLIN, OH 430166102

✅

NPI Profile Active January 25, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2010

Registered at 1550 SHERIDAN DR, SUITE 202, LANCASTER, OH 431301380 (Tel: 7406540232)

📍

Updated Business Mailing Address January 25, 2010

Registered at 1041 PLEASANTVILLE RD, LANCASTER, OH 431303339 (Tel: 7406893593)

👤

Provider Name / Credentials Updated January 25, 2010

Recorded as TROY EDWARDS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2010

Internal Medicine (License #34006005 in OH)

🟢

Initial NPI Registration & Enumeration December 06, 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: 1841274552

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: March 28, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9783

Columbus, OH 432090783

Phone: 7404381339

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.