DR. TREVOR KYLE LEWIS (M.D.) – Diagnostic Radiology Physician, NPI 1114307287

DR. TREVOR KYLE LEWIS (M.D.) is a healthcare provider. based in Hannibal, Missouri. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101272862 (VA). The NPI Number for DR. TREVOR KYLE LEWIS (M.D.) is 1114307287

Main info

Male
11 Years Of Experience
Name
DR. TREVOR KYLE LEWIS (M.D.)
NPI
1114307287
Phone
(573) 248-5300
Address
6000 Hospital Dr
Enumeration Date
4 June 2015
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9106104172
Graduation Year
2015 (11 years ago)
PAC ID
7911217005
Group Practice PAC ID
0648208504
Professional Enrollment ID
I20251001002495
Address ID
NC283525501LA500XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:11State licenses:4Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

Provider Addresses for DR. TREVOR KYLE LEWIS (M.D.)

  • 6000 Hospital Dr

    Hannibal, MO 634016887

    Phone: (573) 248-5300

    Fax: (573) 248-5302

    Type: Location

  • 500 E Market St

    Iowa City, IA 522452633

    Phone: (833) 228-6889

    Fax: (866) 317-9404

    Type: Location

  • 1001 Sam Perry Blvd

    Fredericksburg, VA 224014453

    Phone: (540) 741-5610

    Type: Location

  • 6000 State Farm Dr Ste 150

    Rohnert Park, CA 949282226

    Phone: (707) 576-4392

    Type: Location

  • 707 HAMILTON ST

    ONE CITY CENTER - 9TH FLOOR

    ALLENTOWN, PA 181012407

    Phone:

    Type: Mailing

  • 1201 Sam Perry Blvd Ste 201

    Fredericksburg, VA 224014491

    Phone: (540) 741-5610

    Type: Location

  • 2722 MERRILEE DR STE 230

    FAIRFAX, VA 220314400

    Phone: (703) 788-8418

    Type: Location

  • 2722 MERRILEE DR

    STE 230

    FAIRFAX, VA 220314400

    Phone: (703) 698-4444

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,102.

Total Amount is formed as General ($1,102) + Research ($0) + Ownership ($0) = $1,102.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Balt USA, LLC ($484).

Total Amount

$1,102

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2026-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 13 Medicare enrollment records; no due dates published yet.

Enrollment records

13

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
I20210810001934IDiagnostic RadiologyVATBD
I20210811000647IDiagnostic RadiologyDCTBD
I20250722001137IDiagnostic RadiologyNMTBD
I20250812004875IDiagnostic RadiologyMATBD
I20250915002710IDiagnostic RadiologyIATBD
I20251001002495IDiagnostic RadiologyNCTBD
I20251029003113IDiagnostic RadiologyCATBD
I20251103000572IDiagnostic RadiologyILTBD
I20251119003511IDiagnostic RadiologyTXTBD
I20251204001690IDiagnostic RadiologyWITBD
I20260123002012IDiagnostic RadiologyWYTBD
I20260129002006IDiagnostic RadiologyMNTBD
I20260304003565IDiagnostic RadiologyMOTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,81219$0
93880Ultrasound of both sides of head and neck blood flow192179$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers155150$0
76937Ultrasonic guidance for blood vessel access9391$0
93970Ultrasound study of arm or leg veins with compression and maneuvers9188$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

Loading plans...

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: 0648208504View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
-SC
-SC
Diagnostic RadiologyNC
Diagnostic Radiology, NeurologyNC
Certified Registered Nurse Anesthetist (Crna)VA
Diagnostic RadiologyNC
Qualified AudiologistNC
Diagnostic RadiologyNH
Clinical Social WorkerNC

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. TREVOR KYLE LEWIS (M.D.)?
NPI 1114307287 is assigned to DR. TREVOR KYLE LEWIS (M.D.) under the national enumeration system.
Does this profile mean DR. TREVOR KYLE LEWIS (M.D.) is currently active?
Yes — DR. TREVOR KYLE LEWIS (M.D.) appears active in the national provider directory.
Can you summarize DR. TREVOR KYLE LEWIS (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. TREVOR KYLE LEWIS (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. TREVOR KYLE LEWIS (M.D.)?
The snapshot lists Hannibal, Missouri for DR. TREVOR KYLE LEWIS (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.