TREVOR ALDEN LUNDSTROM (M.D.) – Diagnostic Radiology Physician, NPI 1619930047

TREVOR ALDEN LUNDSTROM (M.D.) is a healthcare provider. based in Hoover, Alabama. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 23792 (AL). The NPI Number for TREVOR ALDEN LUNDSTROM (M.D.) is 1619930047

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR ALDEN LUNDSTROM (M.D.)
NPI
1619930047
Phone
(205) 985-4111
Address
4517 SOUTHLAKE PKWY
Enumeration Date
7 April 2006
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
2059854111
Graduation Year
1999 (27 years ago)
PAC ID
3476538562
Group Practice PAC ID
2365800604
Professional Enrollment ID
I20040622001501
Address ID
AL352443280HO4517XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

579 DIAGNOSTIC RADIOLOGY in AL

Provider Addresses for TREVOR ALDEN LUNDSTROM (M.D.)

  • 4517 SOUTHLAKE PKWY

    HOOVER, AL 352443280

    Phone: (205) 985-4111

    Fax: (205) 985-4326

    Type: Location

  • Columbiana Road, Edgemont, Homewood, Jefferson County, Alabama, 35209, United States

    SUITE 4400

    BIRMINGHAM, AL 352162153

    Phone: (205) 824-8000

    Fax: (205) 824-8111

    Type: Mailing

  • Saint Vincent's Birmingham, 810, Saint Vincent's Drive, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States

    BIRMINGHAM, AL 352051601

    Phone: (205) 939-7855

    Fax: (205) 824-8111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-01-11 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040622001501IDiagnostic RadiologyALTBD
I20190520000865IDiagnostic RadiologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view782650$0
71046X-ray of chest, 2 views329313$0
73700Ct scan of leg without contrast181177$0
74176Ct scan of abdomen and pelvis without contrast168163$0
74177Ct scan of abdomen and pelvis with contrast166163$0
View full utilization report →

Insurance plans in this area (ZIP 35244)

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Provider's Procedures

TREVOR ALDEN LUNDSTROM (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYAL71010X-ray of chest, 1 view, front1241933
DIAGNOSTIC RADIOLOGYAL73630X-ray of foot, minimum of 3 views4342
DIAGNOSTIC RADIOLOGYAL74177CT scan of abdomen and pelvis with contrast1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365800604View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physician AssistantAL
Diagnostic RadiologyAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physical Therapist In Private PracticeAL
Physician AssistantAL
Hand Surgery, Orthopedic SurgeryAL
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What is TREVOR ALDEN LUNDSTROM (M.D.)'s NPI number?
TREVOR ALDEN LUNDSTROM (M.D.)'s NPI is 1619930047 — the number used across U.S. healthcare to identify this provider.
Is TREVOR ALDEN LUNDSTROM (M.D.) still an active registrant?
TREVOR ALDEN LUNDSTROM (M.D.) carries an active NPI according to the public dataset.
How would a patient describe TREVOR ALDEN LUNDSTROM (M.D.)'s focus?
For TREVOR ALDEN LUNDSTROM (M.D.), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is TREVOR ALDEN LUNDSTROM (M.D.) associated with Hoover?
Public fields place TREVOR ALDEN LUNDSTROM (M.D.) around Hoover, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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