2026 NPPES data Surgery Physician NPI 1295908150 M.D.
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TROY KIMSEY, M.D.

Surgery Physician in KNOXVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
198
Medicare Part D claims · 99 beneficiaries · Surgery Physician avg: 169
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TROY KIMSEY, M.D. is a Surgery Physician ([object Object]) practicing in KNOXVILLE, Tennessee with a Medicare Part D prescribing footprint of 198 claims across 99 beneficiaries — 7% brand-name prescribing . Industry payments of $1.2K across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TROY KIMSEY, M.D. filed 198 Medicare Part D claims in 2023 across KNOXVILLE, Tennessee. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TROY KIMSEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TROY KIMSEY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/10/2008

NPI 1295908150

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

198 17% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Tennessee

How Surgery Physician compares to other specialties among Tennessee providers

Tennessee providers

Surgery Physician share within Tennessee

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

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).

TROY KIMSEY, M.D. is a Surgery Physician provider practicing in KNOXVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295908150. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TROY KIMSEY, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1819 W CLINCH AVE, KNOXVILLE, TN, 37916, with a listed phone of (865) 524-3695. NPI 1295908150 was issued on 04/10/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KIMSEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 198 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $2K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 39.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1819 W CLINCH AVE
KNOXVILLE, TN 37916

Provider Details

NPI 1295908150
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/10/2008

Hospital and facility affiliations

Facilities where TROY KIMSEY, M.D. 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.

PHOEBE PHYSICIAN GROUP INC
AMERICUS, GA

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 KIMSEY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

INTUITIVE SURGICAL, 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.

Brand vs generic prescribing mix · Generic-heavy

TROY KIMSEY, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 198 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

198
Total Claims
$2K
Total Drug Cost
99
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
218
Total Day Supply
2,795
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$377
Generic Drug Cost
$1K
Opioid Claims
79 (39.9% rate)
Antibiotic Claims
43

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.60
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
64
Levothyroxine Sodium
27
Calcitriol
15
Metronidazole
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How TROY KIMSEY, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

TROY KIMSEY, M.D.'s 198 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as KIMSEY.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TROY KIMSEY, M.D.'s specialty?
TROY KIMSEY, M.D. specializes in Surgery Physician and practices in KNOXVILLE, Tennessee. Credentials: M.D..
How much does TROY KIMSEY, M.D. prescribe under Medicare Part D?
In 2023, TROY KIMSEY, M.D. wrote 198 Medicare Part D claims totaling $2K in drug costs for 99 beneficiaries.
Where is TROY KIMSEY, M.D. located?
TROY KIMSEY, M.D. is located at 1819 W CLINCH AVE, KNOXVILLE, TN, 37916. Phone: (865) 524-3695.
What is TROY KIMSEY, M.D.'s NPI number?
TROY KIMSEY, M.D.'s National Provider Identifier (NPI) is 1295908150, issued on 04/10/2008.
Does TROY KIMSEY, M.D. prescribe more brand-name or generic drugs?
TROY KIMSEY, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $377 in brand drug costs.
Does TROY KIMSEY, M.D. prescribe opioids?
Yes, TROY KIMSEY, M.D. had 79 opioid claims in 2023 with an opioid prescribing rate of 39.9%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does TROY KIMSEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TROY KIMSEY, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Levothyroxine Sodium, Calcitriol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TROY KIMSEY, M.D. accept Medicare?
TROY KIMSEY, M.D. appears in CMS Medicare data with 198 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TROY KIMSEY, M.D.'s credentials?
TROY KIMSEY, M.D.'s NPI is 1295908150 with credentials M.D.. 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

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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 April 2026 (NPPES) / 2023 (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