TREVOR CLAYTON ANDERSON (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1912392341

TREVOR CLAYTON ANDERSON (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in ADDICTION MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2018019408 (MO). The NPI Number for TREVOR CLAYTON ANDERSON (M.D.) is 1912392341

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR CLAYTON ANDERSON (M.D.)
NPI
1912392341
Phone
(816) 234-3000
Address
2401 GILLHAM RD
Enumeration Date
2 April 2015
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4057448939
Graduation Year
2015 (11 years ago)
PAC ID
2860794195
Group Practice PAC ID
2769739358
Professional Enrollment ID
I20210526003458
Address ID
OK740780001ST042XXMURR201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

30 ADDICTION MEDICINE in MO

Provider Addresses for TREVOR CLAYTON ANDERSON (M.D.)

  • 2401 GILLHAM RD

    KANSAS CITY, MO 641084619

    Phone: (816) 234-3000

    Type: Mailing

  • 5310 E 31ST ST FL 13

    TULSA, OK 741355018

    Phone: (918) 561-5701

    Fax: (918) 561-1173

    Type: Mailing

  • 5310 E 31ST ST FL 11 STE 1102

    TULSA, OK 741355018

    Phone: (918) 561-1898

    Type: Location

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: 2021-05-26

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
I20210526003458IAddiction MedicineOKTBD

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 64108)

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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: 2769739358View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Neurology, PsychiatryOK
-OK
Emergency MedicineOK
Emergency MedicineOK
Family PracticeOK
Internal MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YOK
Clinical PsychologistCO
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Can I cross-check TREVOR CLAYTON ANDERSON (M.D.) using NPI 1912392341?
NPI 1912392341 belongs to TREVOR CLAYTON ANDERSON (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to TREVOR CLAYTON ANDERSON (M.D.)?
You should see TREVOR CLAYTON ANDERSON (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is TREVOR CLAYTON ANDERSON (M.D.)?
TREVOR CLAYTON ANDERSON (M.D.) is associated with Addiction Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is TREVOR CLAYTON ANDERSON (M.D.) associated with Kansas City?
Public fields place TREVOR CLAYTON ANDERSON (M.D.) around Kansas City, Missouri. Always confirm the exact site before visiting.
Does TREVOR CLAYTON ANDERSON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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