TREVOR MICHAEL BULLOCK (DO) – Sports Medicine (Family Medicine) Physician, NPI 1881857282

TREVOR MICHAEL BULLOCK (DO) is a healthcare provider. based in Lincolnshire, Illinois. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 036141777 (IL). The NPI Number for TREVOR MICHAEL BULLOCK (DO) is 1881857282

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR MICHAEL BULLOCK (DO)
NPI
1881857282
Phone
(847) 866-7846
Address
920 MILWAUKEE AVE
Enumeration Date
7 July 2008
Last Update Date
2 April 2021

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
9537347224
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20161116000860
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
tbullock262295@direct.northshore.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

340 SPORTS MEDICINE in IL

Provider Addresses for TREVOR MICHAEL BULLOCK (DO)

  • Milwaukee Avenue, Lincolnshire, Illinois, 60090, United States

    LINCOLNSHIRE, IL 600693839

    Phone: (847) 866-7846

    Fax: (224) 251-4568

    Type: Mailing

  • 2180 Pfingsten Rd

    Suite 3100

    Glenview, IL 600261339

    Phone: (847) 866-7846

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $14,422.

Total Amount is formed as General ($14,422) + Research ($0) + Ownership ($0) = $14,422.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Arthrex, Inc. ($14,422).

Total Amount

$14,422

General + Research + Ownership

Payments

27

Total payment records

General Amount

$14,422

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Arthrex, Inc.$14,422
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: 2016-11-16

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
I20161116000860ISports MedicineILTBD

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
20611Aspiration and/or injection of fluid large joint using ultrasound guidance663380$0
99213Established patient office or other outpatient visit, 20-29 minutes362275$0
99214Established patient office or other outpatient visit, 30-39 minutes272237$0
99203New patient office or other outpatient visit, 30-44 minutes200200$0
76942Ultrasonic guidance for needle placement5044$0
View full utilization report →

Insurance plans in this area (ZIP 60069)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What is the standard ID for TREVOR MICHAEL BULLOCK (DO) in the U.S.?
In the U.S., TREVOR MICHAEL BULLOCK (DO) is identified by NPI 1881857282.
Does the public listing show TREVOR MICHAEL BULLOCK (DO) as active?
TREVOR MICHAEL BULLOCK (DO)'s NPI record reflects an active status in NPPES.
What type of care does TREVOR MICHAEL BULLOCK (DO) provide?
TREVOR MICHAEL BULLOCK (DO)'s profile centers on Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TREVOR MICHAEL BULLOCK (DO)?
TREVOR MICHAEL BULLOCK (DO) is associated with Lincolnshire, Illinois in the same public data insurers reference.
Can I export TREVOR MICHAEL BULLOCK (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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