TREVER TROUTMAN (MD) – Family Medicine Physician, NPI 1104576412

TREVER TROUTMAN (MD) is a healthcare provider. based in Geneva, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 125080814 (IL). The NPI Number for TREVER TROUTMAN (MD) is 1104576412

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
TREVER TROUTMAN (MD)
NPI
1104576412
Phone
(630) 938-3300
Address
298 RANDALL RD
Enumeration Date
28 March 2022
Last Update Date
3 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
7416338777
Group Practice PAC ID
2466349907
Professional Enrollment ID
I20250918001375
Address ID
IL612703042Mo303XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for TREVER TROUTMAN (MD)

  • 298 RANDALL RD

    GENEVA, IL 601344203

    Phone: (630) 938-3300

    Fax: (630) 938-3310

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250918001375IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60134)

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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: 2466349907View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
P O D I A T R YIL
Nurse PractitionerIL
Occupational Therapist In Private PracticeIA
Physician AssistantIA
Nurse PractitionerIL
-IL
Physician AssistantFL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does TREVER TROUTMAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TREVER TROUTMAN (MD) uses 1104576412.
Does CMS list TREVER TROUTMAN (MD) as active?
Yes — TREVER TROUTMAN (MD) is active in the NPI listing used on this page.
What is TREVER TROUTMAN (MD)'s primary classification?
Family Medicine Physician is the headline specialty for TREVER TROUTMAN (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for TREVER TROUTMAN (MD)?
TREVER TROUTMAN (MD)'s geographic hint is Geneva, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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