Troy Simmons, D.P.M.
NPI 1396817201 · Podiatrist · Portland, OR
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Troy Simmons, D.P.M. is a Podiatrist provider in Portland, OR (NPI 1396817201).
Provider details
- NPI number
- 1396817201
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- PO00000767 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
898 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 258 | $46 |
| Removal of Noncancer Thickened Skin Growth, 2-4 Growths11056 | 102 | $84 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 93 | $93 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 83 | $133 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 76 | $112 |
| Removal of Noncancer Thickened Skin Growth, 1 Growth11055 | 71 | $74 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mupirocin | 40 | 16 |
| Lidocaine/Prilocainebrand: Lidocaine-Prilocaine | 19 | — |
| Oxycodone Hcl | 13 | — |
| Doxycycline Hyclate | 12 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 4212 Ne Broadway Ste 101Portland, OR 97213-1422Phone: (503) 963-2964Fax: (503) 963-2966
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Troy Simmons's NPI number?
- Troy Simmons's National Provider Identifier (NPI) is 1396817201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Troy Simmons's specialty?
- Troy Simmons is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Troy Simmons located?
- Troy Simmons's practice location on file with NPPES is 5050 Ne Hoyt St Ste 223, Portland, OR 97213-2980.
- What is Troy Simmons's phone number?
- The practice phone number listed in the NPPES registry for Troy Simmons is (503) 963-2964.
- Does Troy Simmons accept Medicare?
- Troy Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Troy Simmons's NPI active?
- Yes — Troy Simmons's NPI (1396817201) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.