Individual provider Active NPI

Trevor Wilson Halle, M.D.

  • Emergency Medicine Physician
  • Pueblo, CO
National Provider Identifier
1750737862
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0061923 Issued in CO
Practice address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone
(925) 699-2283
NPI assigned
May 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DR.0061923 CO Primary

Addresses

Primary practice location

1008 Minnequa Ave
Pueblo, CO 81004-3733

Mailing address

2530 W Colorado Ave
Colorado Springs, CO 80904-3023
Phone (925) 699-2283

Other practice location 1

601 Elmwood Ave
Box 655
Rochester, NY 14642-0001
Phone (585) 463-2940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MD, CA, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190604000168 CO Practitioner - Emergency Medicine 2365795200 Reassigns benefits to 4 organizations
I20230512000641 MD Practitioner - Emergency Medicine 2365795200 Reassigns benefits to 2 organizations
I20240301001592 CA Practitioner - Emergency Medicine 2365795200 Reassigns benefits to 4 organizations
I20250319000810 KS Practitioner - Emergency Medicine 2365795200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Community Emergency Services of Colorado Inc.Group PAC ID 2466711536, 167 clinicians

Practice addresses (Care Compare)

3280 S Wadsworth Blvd
Lakewood, CO 80227-5002
Phone (303) 649-3620

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

Hospital & facility affiliations

  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vep Hutchinson Emergency Medical Group, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince May 29, 2023 Accepting new patients
Vallejo Emergency Physicians Medical Group Inc. Emergency Medicine CurrentSince Dec 2, 2024 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Jan 19, 2024 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 2, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 1, 2024 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince May 29, 2023 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine CurrentSince May 2, 2019 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince May 14, 2024 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jan 30, 2024 Accepting new patients
Usacs of Colorado Inc Emergency Medicine Past Accepting new patients

Locations

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 10

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1750737862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043023",
            "telephone_number": "925-699-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "925-699-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_2": "Box 655",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-463-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLE",
        "first_name": "TREVOR",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0061923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.