NPI registry status
Active
2026 NPPES data Podiatrist NPI 1396817201 D.P.M.
Verify on CMS → Troy Simmons, D.P.M.
Podiatrist in Portland, Oregon.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,498 in Podiatrist, 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
140
Medicare Part D claims · 65 beneficiaries · Podiatrist avg: 304
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Troy Simmons, D.P.M. filed 140 Medicare Part D claims in 2023 as a Podiatrist in Portland, Oregon, prescribing 91% generic.
- 140
- Part D claims, 2023
- 91%
- generic prescribing
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.
Troy Simmons, D.P.M.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
140 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Troy Simmons, D.P.M.?
Quality data not reportedPrimary specialty
Podiatrist
Medicare Part D claims
140 54% vs specialty avg
Specialty distribution in Oregon
How Podiatrist compares to other specialties among Oregon providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Podiatrist. Verify directly:
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).
Troy Simmons, D.P.M. appears in the CMS NPPES registry as a Podiatrist provider holding D.P.M. credentials at 5050 NE HOYT ST STE 223, Portland, OR, 97213, with a listed phone of (503) 963-2964. NPI 1396817201 was issued on 11/15/2006.
Medicare Part D records for calendar year 2023 show 140 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $5K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 25.7%.
Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 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
Provider Details
| NPI | 1396817201 |
|---|---|
| Specialty | Podiatrist |
| Credentials | D.P.M. |
| Gender | Male |
| NPI Issued | 11/15/2006 |
Hospital and facility affiliations
Facilities where Troy Simmons, D.P.M. 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.
The Oregon Clinic, PC
Portland, OR
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Troy Simmons, D.P.M. - brand share 9.0%
Podiatrist average
9% brand-name claims vs 91% generic, on 140 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.
140
Total Claims
$5K
Total Drug Cost
65
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 146
- Total Day Supply
- 2,418
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $678
- Generic Drug Cost
- $4K
- Opioid Claims
- 36 (25.7% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.80
- Gender Split
- 45% female / 55% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Troy Simmons, D.P.M. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Mupirocin
Mupirocin
21 claims
- Oxycodone Hcl
Oxycodone Hcl
18 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
15 claims
- Doxycycline Hyclate
Doxycycline Hyclate
14 claims
| Drug | Claims |
|---|---|
| Mupirocin | 21 |
| Oxycodone Hcl | 18 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 15 |
| Doxycycline Hyclate | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Podiatrist Overview
How Troy Simmons, D.P.M. fits within the Podiatrist landscape nationally.
10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider
Troy Simmons, D.P.M.'s 140 claims are below the specialty average of 304.
Nearby Podiatrist Providers in Oregon
Other clinicians with the same primary specialty enrolled in Oregon, drawn from the same CMS NPPES roster as Simmons.
Dr. Dana Alumbaugh
DPM
Hood River, OR
Dr. Hamid Arabshahi
DPM
Salem, OR
Dr. John Barnes
DPM
Portland, OR
Dr. Andrew Baum
DPM
La Grande, OR
Dr. Cara Beach
DPM
Portland, OR
Compare Podiatrist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Oregon medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Podiatrist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Oregon
Frequently Asked Questions
What is Troy Simmons, D.P.M.'s specialty? ▼
Troy Simmons, D.P.M. specializes in Podiatrist and practices in Portland, Oregon. Credentials: D.P.M..
How much does Troy Simmons, D.P.M. prescribe under Medicare Part D? ▼
In 2023, Troy Simmons, D.P.M. wrote 140 Medicare Part D claims totaling $5K in drug costs for 65 beneficiaries.
Where is Troy Simmons, D.P.M. located? ▼
Troy Simmons, D.P.M. is located at 5050 NE HOYT ST STE 223, Portland, OR, 97213. Phone: (503) 963-2964.
What is Troy Simmons, D.P.M.'s NPI number? ▼
Troy Simmons, D.P.M.'s National Provider Identifier (NPI) is 1396817201, issued on 11/15/2006.
Does Troy Simmons, D.P.M. prescribe more brand-name or generic drugs? ▼
Troy Simmons, D.P.M.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $678 in brand drug costs.
Does Troy Simmons, D.P.M. prescribe opioids? ▼
Yes, Troy Simmons, D.P.M. had 36 opioid claims in 2023 with an opioid prescribing rate of 25.7%.
How many Podiatrist providers are there in the US? ▼
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does Troy Simmons, D.P.M. prescribe most often? ▼
Based on 2023 Medicare Part D data, Troy Simmons, D.P.M.'s most frequently prescribed drugs include Mupirocin, Oxycodone Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Troy Simmons, D.P.M. accept Medicare? ▼
Troy Simmons, D.P.M. appears in CMS Medicare data with 140 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Troy Simmons, D.P.M.'s credentials? ▼
Troy Simmons, D.P.M.'s NPI is 1396817201 with credentials D.P.M.. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.