NPI registry status
Active
2026 NPPES data Addiction Medicine (Anesthesiology) Physician NPI 1962604728 D.O.
Verify on CMS → Troy Anderson, D.O.
Addiction Medicine (Anesthesiology) Physician in Grove City, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 125 in Addiction Medicine (Anesthesiology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
55
Medicare Part D claims · 11 beneficiaries · Addiction Medicine (Anesthesiology) Physician avg: 799
MIPS score
93.8/100
▲ 10 pts above national avg 83.5 · Exceptional
Industry payments
$170.9
8 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Troy Anderson, D.O. reported a CMS MIPS final score of 93.8/100 - above the 83.5 national average - and filed 55 Medicare Part D claims in 2024.
- 93.8/100
- MIPS score · +10 vs avg
- 55
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥69th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Troy Anderson, D.O.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1962604728), first enumerated 06/04/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 55 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 93.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$170.9 in reported industry payments (8 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Troy Anderson, D.O.'s individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1962604728 · Addiction Medicine (Anesthesiology) Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ELITE · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1962604728
- ENUM-MID 2007
- TAX-TRACE 125
- MIPS-ELITE 93.8/100
- RX-TRACE 55
- BOOK-THIN 6 in Pennsylvania
- PHOTO-FINISH Gina Subtirelu, M.D. · ±0.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ross Cotton, MD …
Ross Cotton, MD
90.1 MIPS pts
- Vinai Vishwanath…
Vinai Vishwanath, M.D.
92.3 MIPS pts
- Gina Subtirelu, …
Gina Subtirelu, M.D.
93.5 MIPS pts
- Anderson · this …
Anderson · this provider
93.8 MIPS pts
- Gaylynn Speas, M…
Gaylynn Speas, MD
95.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Troy Anderson, D.O.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
94 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
✓
Board certification likely (heuristic, not verified)
Troy Anderson, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Troy Anderson, D.O.?
High performer (top quartile)Primary specialty
Addiction Medicine (Anesthesiology) Physician
Medicare Part D claims
55 93% vs specialty avg
MIPS final score
93.8/100 10.3 pts vs avg
Specialty distribution in Pennsylvania
How Addiction Medicine (Anesthesiology) Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Troy Anderson, D.O.'s 2023 MIPS final score plotted against the Addiction Medicine (Anesthesiology) Physician national average
- MIPS Final Score
- 93.8/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1962604728 |
|---|---|
| Specialty | Addiction Medicine (Anesthesiology) Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 06/04/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.7848
Final Score
Measured-score avg: 83.5
85.0781
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Troy Anderson, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Allegheny Clinic
Grove City, PA
Bel-Park Anesthesia Associates, Inc.
Youngstown, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Troy Anderson, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$171
Largest payer
Indivior Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Troy Anderson, D.O.. To verify Troy Anderson, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
55
Total Claims
$4K
Total Drug Cost
11
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 55
- Total Day Supply
- 1,128
- Brand Drug Cost
- $0
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 58.6 years
- Avg HCC Risk Score
- 1.67
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 54 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction Medicine (Anesthesiology) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Addiction Medicine (Anesthesiology) Physician Overview
How Troy Anderson, D.O. fits within the Addiction Medicine (Anesthesiology) Physician landscape nationally.
125
Addiction Medicine (Anesthesiology) Physician Providers in US
37
States with Addiction Medicine (Anesthesiology) Physician
799
Avg Claims per Provider
Troy Anderson, D.O.'s 55 claims are below the specialty average of 799.
Nationwide Addiction Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Anderson, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (93.8 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Addiction Medicine (Anesthesiology) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Anderson.
One of 6 Addiction Medicine (Anesthesiology) Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Raymond Bobb
D.O.
Philadelphia, PA
Dr. Athos Cerrato
DO
Havertown, PA
Dr. Michal Glinianski
MD
Chambersburg, PA
Michele Gutshall
BS
Millersville, PA
Dr. Ming Wang
MD
Wernersville, PA
Compare Addiction Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Troy Anderson, D.O.'s specialty? ▼
Troy Anderson, D.O. specializes in Addiction Medicine (Anesthesiology) Physician and practices in Grove City, Pennsylvania. Credentials: D.O..
How much does Troy Anderson, D.O. prescribe under Medicare Part D? ▼
In 2024, Troy Anderson, D.O. wrote 55 Medicare Part D claims totaling $4K in drug costs for 11 beneficiaries.
What is Troy Anderson, D.O.'s Medicare quality score? ▼
Troy Anderson, D.O. has a CMS MIPS Final Score of 93.8/100 (Quality: 85.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Troy Anderson, D.O. located? ▼
Troy Anderson, D.O. is located at 631 N BROAD STREET EXT, Grove City, PA, 16127. Phone: (724) 450-7000.
What is Troy Anderson, D.O.'s NPI number? ▼
Troy Anderson, D.O.'s National Provider Identifier (NPI) is 1962604728, issued on 06/04/2007.
How many Addiction Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 125 Addiction Medicine (Anesthesiology) Physician providers across 37 states in the US. The average Addiction Medicine (Anesthesiology) Physician provider writes 799 Medicare Part D claims per year.
What drugs does Troy Anderson, D.O. prescribe most often? ▼
Based on 2024 Medicare Part D data, Troy Anderson, D.O.'s most frequently prescribed drugs include Buprenorphine-Naloxone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Troy Anderson, D.O. accept Medicare? ▼
Troy Anderson, D.O. appears in CMS Medicare data with 55 Part D claims and 11 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Troy Anderson, D.O.'s credentials? ▼
Troy Anderson, D.O.'s NPI is 1962604728 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.