Medicare Enrolled

Dr. Rachel Troian, PA

Medical Physician Assistant · Daytona Beach, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
224 MEMORIAL MEDICAL PKWY STE 300, Daytona Beach, FL 32117
3862314060
In practice since 2021 (5 years)
NPI: 1578155180 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Troian from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Troian? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Troian

Dr. Rachel Troian is a medical physician assistant in Daytona Beach, FL, with 5 years of NPI registration. Based on federal Medicare data, Dr. Troian performed 14 Medicare services across 14 unique beneficiaries.

Between the years covered by Open Payments, Dr. Troian received a total of $13,383 from 70 pharmaceutical and/or device companies across 533 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Troian is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 5 years in practice ▲ 14 Medicare services $13,383 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Physician Assistant 9113768 Clear January 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
14
Medicare services
Bottom 3% in FL for medical physician assistant
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
14
Unique beneficiaries
$117
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~3 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Initial hospital admission, high complexity 14 $117 $556
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$13,383
Total received (2021-2024)
Avg $3,346/year across 4 years
Top 2% in FL for medical physician assistant
70
Companies
533
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,180 (91.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,204 (9.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,472
2023
$4,577
2022
$2,628
2021
$1,707

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$1,116
Seagen Inc.
$1,101
Daiichi Sankyo Inc.
$862
PFIZER INC.
$820
Incyte Corporation
$664
E.R. Squibb & Sons, L.L.C.
$638
Novartis Pharmaceuticals Corporation
$633
Janssen Biotech, Inc.
$594
Astellas Pharma US Inc
$444
Merck Sharp & Dohme LLC
$366
Gilead Sciences, Inc.
$352
Stemline Therapeutics Inc.
$349
Genentech USA, Inc.
$324
SOBI, INC
$315
Bayer Healthcare Pharmaceuticals Inc.
$305
Celgene Corporation
$294
Eisai Inc.
$274
ABBVIE INC.
$244
Ipsen Biopharmaceuticals, Inc
$240
Regeneron Healthcare Solutions, Inc.
$220
G1 Therapeutics, Inc.
$158
EMD Serono, Inc.
$151
Lilly USA, LLC
$150
CTI BioPharma Corp.
$144
ARRAY BIOPHARMA INC
$140
Takeda Pharmaceuticals U.S.A., Inc.
$124
Mirati Therapeutics, Inc.
$124
Pharmacosmos Therapeutics Inc.
$120
Puma Biotechnology, Inc.
$118
Janssen Pharmaceuticals, Inc
$108
JAZZ PHARMACEUTICALS INC.
$106
Dova Pharmaceuticals
$104
Exelixis Inc.
$94
Kite Pharma, Inc.
$93
TAIHO ONCOLOGY, INC.
$92
Amgen Inc.
$90
EISAI INC.
$85
SANOFI-AVENTIS U.S. LLC
$85
GENZYME CORPORATION
$83
Bayer HealthCare Pharmaceuticals Inc.
$77
GlaxoSmithKline, LLC.
$72
TerSera Therapeutics LLC
$65
Alexion Pharmaceuticals, Inc.
$58
Boehringer Ingelheim Pharmaceuticals, Inc.
$53
PUMA BIOTECHNOLOGY, INC.
$52
Sobi, Inc
$48
Myovant Sciences Inc.
$46
Aveo Pharmaceuticals, Inc.
$45
Kyowa Kirin, Inc.
$44
Karyopharm Therapeutics Inc.
$43
PharmaEssentia USA Corporation
$38
Foundation Medicine, Inc.
$36
MorphoSys, US Inc.
$33
Taiho Oncology, Inc.
$33
Genmab U.S., Inc.
$30
RECORDATI_RARE_DISEASES_INC.
$29
GE HEALTHCARE
$25
Pharmacyclics LLC, An AbbVie Company
$25
Blueprint Medicines Corporation
$24
Adaptive Biotechnologies Corporation
$22
CSL Behring
$22
Deciphera Pharmaceuticals Inc.
$19
Merck Sharp & Dohme Corporation
$17
Coherus Biosciences Inc.
$16
BeiGene USA, Inc.
$16
EUSA Pharma (US) LLC
$16
Dendreon Pharmaceuticals LLC
$16
Global Blood Therapeutics, Inc.
$14
Acceleron Pharma, Inc.
$13
Myriad Genetic Laboratories, Inc.
$11
Top 3 companies account for 23.0% of total payments
Associated products mentioned in payments ›
ADAKVEO · ADCETRIS · ALUNBRIG · AYVAKIT · Afstyla · Alecensa · BAVENCIO · BESREMI · BOSULIF · BRAFTOVI · BRUKINSA · CABOMETYX · CALQUENCE · COSELA · Cabometyx · DARZALEX · DOPTELET · Doptelet · ENHERTU · ERLEADA · Enhertu · Epkinly · FOTIVDA · FOUNDATIONONE · FRUZAQLA · Fabhalta · GAZYVA · GILOTRIF · Gazyva · IBRANCE · ICLUSIG · IMBRUVICA · IMFINZI · INJECTAFER · INLYTA · INQOVI · JAKAFI · JEVTANA · KEYTRUDA · KISQALI · KRAZATI · Kyprolis · LIBTAYO · LONSURF · LORBRENA · LUMAKRAS · LUTATHERA · LYNPARZA · Lenvima · Lunsumio · MEKINIST · MONJUVI · MONOFERRIC · NERLYNX · NINLARO · Nubeqa · OJJAARA · ONUREG · OPDIVO · ORGOVYX · OXBRYTA · Onivyde · Orserdu · PADCEV · PEMAZYRE · PIQRAY · PLUVICTO · POTELIGEO · PROMACTA · PROVENGE · Padcev · Polivy · Pomalyst · Poteligeo · QINLOCK · REBLOZYL · RYBREVANT · Reblozyl · SARCLISA · SCEMBLIX · SOMATULINE DEPOT · SYLVANT · SYNAGIS · Somatuline Depot · Stivarga · Sylvant · TAGRISSO · TASIGNA · TECVAYLI · TIVDAK · TUKYSA · Tecentriq · Trodelvy · ULTOMIRIS · Udenyca · Ultomiris · VENCLEXTA · VERZENIO · VONJO · Vanflyta · Venclexta · Vonjo · Vyloy · XALKORI · XARELTO · XPOVIO · XTANDI · Xospata · Xtandi · Yescarta · ZEPZELCA · Zoladex · clonoSEQ · myChoice CDx
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for medical physician assistant in FL.

Equivalent to $95,594 per 100 Medicare services performed
Looking for a medical physician assistant in Daytona Beach?
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Geographic Context

Medical physician assistants within 10 mi
78
Per 100K population
13.7
County median income
$66,581
Nearest hospital
ADVENTHEALTH DAYTONA BEACH
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Troian is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 2% of FL peers.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Troian experienced with initial hospital admission, high complexity?
Based on Medicare claims data, Dr. Troian performed 14 initial hospital admission, high complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Troian receive payments from pharmaceutical companies?
Yes. Dr. Troian received a total of $13,383 from 70 companies across 533 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Troian's costs compare to other medical physician assistants in Daytona Beach?
Dr. Troian's average Medicare payment per service is $117. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Troian) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →