TREVOR J FOSSO – Optometrist, NPI 1336597079

TREVOR J FOSSO is a healthcare provider. based in Sartell, Minnesota. specializing in OPTOMETRY. They hold a License No. MN3499 (MN). The NPI Number for TREVOR J FOSSO is 1336597079

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR J FOSSO
NPI
1336597079
Phone
(320) 258-3915
Address
2180 TROOP DR
Enumeration Date
2 June 2016
Last Update Date
28 June 2022

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
3202583915
Graduation Year
2016 (10 years ago)
PAC ID
3577854264
Group Practice PAC ID
6800786906
Professional Enrollment ID
I20170809002957
Address ID
MN563777504SA2180XDRXX300

Contacts

Secure Messaging
tfosso@pineconevisioncenter.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

798 OPTOMETRY in WI

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Provider Addresses for TREVOR J FOSSO

  • 2180, Troop Drive, Sartell, Stearns County, Minnesota, 56377, United States

    SARTELL, MN 563774563

    Phone: (320) 258-3915

    Fax: (320) 258-3917

    Type: Mailing

  • 1025, Regent Street, Greenbush, Bowens Addition, Madison, Dane County, Wisconsin, 53715, United States

    MADISON, WI 537151248

    Phone: (608) 282-2000

    Fax: (608) 282-2172

    Type: Location

  • 2180 TROOP DR

    SARTELL, MN 563774563

    Phone: (320) 258-3915

    Fax: (320) 258-3917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 159 Open Payments records for all available years, with a total value of $17,853.

Total Amount is formed as General ($17,853) + Research ($0) + Ownership ($0) = $17,853.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alcon Vision LLC ($4,772).

Total Amount

$17,853

General + Research + Ownership

Payments

159

Total payment records

General Amount

$17,853

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2017-08-09

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
I20170809002957IOptometryMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7239$0
92014Established patient complete exam of visual system4848$0
92250Photography of the retina3737$0
83516Analysis of substance using immunoassay technique, multiple step method3413$0
83861Microfluid analysis of tears3413$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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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: 6800786906View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Does TREVOR J FOSSO have a public NPI I can cite?
Public records show TREVOR J FOSSO under NPI 1336597079.
Is TREVOR J FOSSO's NPI status active today?
Active status means TREVOR J FOSSO's NPI record is not deactivated in the public file.
What type of care does TREVOR J FOSSO provide?
TREVOR J FOSSO's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TREVOR J FOSSO?
TREVOR J FOSSO is associated with Sartell, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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