Trevor K O'Brien, M.D.,

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

4301116966 Issued in MI

Practice address

4170 Cedar Bluff Dr
Petoskey, MI 49770-7627

Phone

(231) 487-2230

NPI assigned

May 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Michigan State University College of Human Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

81.43

Promoting interoperability

82

Improvement activities

40

Cost

80.91

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Advanced Dermatology of Michigan PC

  • Dermatology Physician
  • Wyandotte, MI
  • NPI 1851708929
  Medicare reassignment Care Compare group NPD
• Aevitas Medical Consultants PLC

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1144007436
  NPD
• Bay Area Dermatology

  • Specialist
  • Traverse City, MI
  • NPI 1306082755
  NPD (past)
• Kalamazoo Dermatology, P.C.

  • Dermatology Physician
  • Portage, MI
  • NPI 1073607925
  NPD (past)
• Munson Medical Group

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1821398322
  NPD (past)

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1487091989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 CURTIS RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159016",
            "telephone_number": "989-798-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CEDAR BLUFF DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497707627",
            "telephone_number": "231-487-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "TREVOR",
        "middle_name": "K",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301116966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Periodontics & Implant Dentistry, P.C.
• Northstar Counseling and Herbals LLC
• Northwoods Ear, Nose & Throat PC
• Susan K Nuorala, ANP-C
• Robert J. O'Brien, MSW, LMSW
• Christine Ann O'Donnell, PT
• Oasis Health Urology, PLLC
• Kasey Ann Olesak, MA, LLPC, CAADC-D
• Gordon Michael Olmstead, DO
• Lyndsay Leigh Olmstead, O.D.

• Plastic and Reconstructive Surgery Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Plastic and Reconstructive Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.