Active NPI 1730382458 Individual Practitioner Male Practitioner

Dr. Troy Andrew Hixson , MD

Surgery • Winchester, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Hixson, MD is a certified Surgery practicing in Winchester, TN. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Hixson delivers high-quality medical care to the local community at 83 MEMORIAL DR.

Dr. Hixson is affiliated with Southeastern Emergency Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, subsequent hospital care with moderate levelof 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

83 Memorial Dr

Winchester, TN 373982401

Telephone 9319673966

Fax 9319620373

Associated Practice Facility / Clinic

🏢 Cumberland Healthcare Group, Pllc Facility NPI 1831305960

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Winchester, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +7.3 yrs vs City Avg

City Avg: 16.7 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Winchester, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hixson (24 Years) 24 Yrs

Winchester Specialty Average (16.7 Years) 16.7 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
99285 Emergency department visit for life threatening or functioning severity	36	32	$1643.00	$167.35
99284 Emergency department visit with moderate level of medical decision making	23	21	$1106.87	$115.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	30	$163.00	$73.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	46	$227.00	$114.74
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$151.00	$81.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	35	$444.00	$162.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$348.00	$153.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$733.00	$91.21
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	25	25	$512.00	$236.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$225.00	$99.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$301.00	$121.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	29	$163.00	$66.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	52	$227.00	$113.92
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$151.00	$82.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	32	$733.00	$88.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$225.00	$104.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$348.00	$149.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$301.00	$126.32
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	25	25	$512.00	$247.86
45380 Biopsy of large bowel using an endoscope	11	11	$1006.00	$169.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	31	$163.00	$67.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$227.00	$122.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$225.00	$105.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	34	$733.00	$102.99
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$151.00	$86.06
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	28	28	$512.00	$255.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$301.00	$128.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$348.00	$153.57
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$222.00	$94.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	31	$163.00	$68.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$227.00	$102.83
99213 Established patient office or other outpatient visit, typically 15 minutes	41	29	$151.00	$70.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$225.00	$101.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	34	$733.00	$104.86
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	28	28	$512.00	$253.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$301.00	$125.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$348.00	$155.44

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	61	54	$227.00	$99.34
99213 Established patient office or other outpatient visit, typically 15 minutes	57	32	$151.00	$68.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	31	$163.00	$69.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$225.00	$99.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$733.00	$108.30
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	31	30	$512.00	$261.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$348.00	$154.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$301.00	$129.99
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$222.00	$95.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	51	$163.00	$69.15
99213 Established patient office or other outpatient visit, typically 15 minutes	67	48	$151.00	$68.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$227.00	$100.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$301.00	$129.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$225.00	$100.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	36	$733.00	$107.62
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	34	34	$512.00	$261.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$348.00	$154.26
11100 Biopsy of single growth of skin and/or tissue	21	18	$215.00	$87.91
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$222.00	$95.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	51	$163.00	$68.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	64	$227.00	$99.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	57	$733.00	$107.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$348.00	$152.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	46	$301.00	$129.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$225.00	$99.08
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$151.00	$68.00
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	33	33	$512.00	$261.08
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$222.00	$95.55
11100 Biopsy of single growth of skin and/or tissue	16	12	$215.00	$79.76

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 42625

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cigna

1335818

Commercial Insurance / Payer ID Tax Id

621763648

Hospital & Practice Group Affiliations

Southeastern Emergency Physicians Llc

1260 University Ave, Sewanee, TN 373752303

Phone: 6155985691

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. William Pryor , MD

Surgery

NPI 1215270301

Doctor of Medicine (M.D.)

Dr. Clive Wasson , DO

Surgery

NPI 1215372768

Doctor of Osteopathic Medicine (D.O.)

Dr. Damian Szewczyk , MD

Surgery

NPI 1861403065

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 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2012

Registered at 83 MEMORIAL DR, WINCHESTER, TN 373982401 (Tel: 9319673966)

📍

Updated Business Mailing Address February 15, 2012

Registered at 83 MEMORIAL DR, WINCHESTER, TN 373982401 (Tel: 9319673966)

👤

Provider Name / Credentials Updated February 15, 2012

Recorded as TROY HIXSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2012

Surgery (License #42625 in TN)

🟢

Initial NPI Registration & Enumeration June 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730382458

Entity Type:

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

Enumeration Date: June 08, 2007

Last Update: February 15, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

83 Memorial Dr

Winchester, TN 373982401

Phone: 9319673966

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.