NPIMap

Individual provider Active NPI

Trevor McIver, MD

  • Orthopaedic Surgery Physician
  • Sartell, MN
National Provider Identifier
1003059510
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
59194 Issued in MN
Practice address
1901 Connecticut Ave S
St. Cloud Orthopedic Associates, LTD.
Sartell, MN 56377-2554
Phone
(320) 259-4100
Fax
(320) 257-5523
NPI assigned
Apr 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 59194 MN Primary

Addresses

Primary practice location

1901 Connecticut Ave S
St. Cloud Orthopedic Associates, LTD.
Sartell, MN 56377-2554

Mailing address

1901 Connecticut Ave. S
St. Cloud Orthopedic Associates, LTD.
Sartell, MN 56377
Phone (320) 259-4100

Other practice location 1

3315 Roosevelt Rd Ste 200B
Saint Cloud, MN 56301-9687
Phone (320) 259-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010510 MN Practitioner - Orthopedic Surgery 8820243769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
St Cloud Orthopedic Associates LTDGroup PAC ID 0143113951, 44 clinicians
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians

Practice addresses (Care Compare)

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 259-4100

2014 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 829-7812

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion192
Laminectomy or laminotomy (partial removal of spine bones)69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59194MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Medical Center Current Accepting new patients
St Joseph's Medical Center CurrentSince Nov 13, 2020 Accepting new patients
St. Cloud Orthopedic Associates, LTD. Orthopaedic Surgery CurrentSince Sep 1, 2015 Accepting new patients
St. Joseph's Medical Center CurrentSince Nov 13, 2020 Accepting new patients
St. Cloud Hospital Past Accepting new patients
County of Meeker Past Accepting new patients

Locations

2014 S 6th St
Brainerd, MN 56401
Phone (218) 829-7812

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

3315 Roosevelt Rd
Ste 200B
Saint Cloud, MN 56301
Phone (320) 259-4100

1901 Connecticut Ave S
Sartell, MN 56377
Phone (320) 259-4100

Interoperability endpoints

  • Direct secure messaging: tmciver273082@direct.centracare.com
  • Direct secure messaging: tmciver@stcloudortho1831.srs-direct.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1003059510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE. S",
            "address_2": "ST. CLOUD ORTHOPEDIC ASSOCIATES, LTD.",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-259-4100",
            "fax_number": "320-257-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE S",
            "address_2": "ST. CLOUD ORTHOPEDIC ASSOCIATES, LTD.",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-259-4100",
            "fax_number": "320-257-5523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Roosevelt Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563019687",
            "country_code": "US",
            "telephone_number": "320-259-4100",
            "fax_number": "320-259-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCIVER",
        "first_name": "TREVOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "59194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.