NPIMap

Individual provider Active NPI

Dean Willaim Trevlyn, M.D.

  • Orthopaedic Surgery Physician
  • Broomall, PA
National Provider Identifier
1609819689
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD044626E Issued in PA
Practice address
2004 Sproul Rd
Broomall, PA 19008-3511
Phone
(610) 353-0800
Fax
(610) 359-1686
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 MD044626E PA Primary

Addresses

Primary practice location

2004 Sproul Rd
Broomall, PA 19008-3511

Mailing address

2004 Sproul Rd
Broomall, PA 19008-3511
Phone (610) 353-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041209000242 PA Practitioner - Orthopedic Surgery 3779549977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1396 Wilmington Pike
West Chester, PA 19382-8218
Phone (610) 399-1138

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

470 John Young Way
Suite 100
Exton, PA 19341-2557
Phone (610) 363-6589

500 Evergreen Dr
Suite 10
Glen Mills, PA 19342-1032
Phone (610) 768-1669

525 W Chester Pike
Suite 101a
Havertown, PA 19083-4539
Phone (610) 449-2000

656 E Swedesford Rd
Suite 101
Wayne, PA 19087-1622
Phone (484) 768-9106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement77
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044626EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Orthopaedic Surgery CurrentSince Jan 1, 2005 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Orthopaedic Surgery CurrentSince Jan 1, 2005 Accepting new patients
Orthopedic Sports & Arthritis Surgery Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Clinical Pathology Consultants, PA Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

2004 Sproul Rd
Broomall, PA 19008
Phone (610) 353-0800

Interoperability endpoints

  • Direct secure messaging: deantrevlyn@po.allscriptsdirect.net
  • Direct secure messaging: dean.trevlyn.1@22724.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1609819689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083511",
            "telephone_number": "610-353-0800",
            "fax_number": "610-359-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083511",
            "telephone_number": "610-353-0800",
            "fax_number": "610-359-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVLYN",
        "first_name": "DEAN",
        "middle_name": "WILLAIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD044626E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

Verify at the official NPI Registry.