TREVOR BOUCK (MD) – Orthopaedic Surgery Physician, NPI 1265091581
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,346 ORTHOPEDIC SURGERY in OH
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Provider Addresses for TREVOR BOUCK (MD)
3000, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States
MAIL STOP 1094
TOLEDO, OH 43614
Phone: (419) 383-3761
Fax: (419) 383-3526
Type: Mailing
1234 Fm 407 W Ste 100
Northlake, TX 762265734
Phone: (972) 420-1776
Fax: (214) 222-6660
Type: Location
5000 LONG PRAIRIE RD
FLOWER MOUND, TX 750282796
Phone: (972) 440-1776
Fax: (214) 222-6660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $3,618.
Total Amount is formed as General ($3,618) + Research ($0) + Ownership ($0) = $3,618.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: FX Shoulder USA, Inc ($1,671).
Total Amount
$3,618
General + Research + Ownership
Payments
19
Total payment records
General Amount
$3,618
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| FX Shoulder USA, Inc | $1,671 |
| Smith+Nephew, Inc. | $1,250 |
| Stryker Corporation | $419 |
| DePuy Synthes Sales Inc. | $138 |
| SI-BONE, INC. | $67 |
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: 2025-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250723002734 | I | Orthopedic Surgery | TX | TBD |
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.
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 43614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Diagnostic Radiology | TX | |
| Hand Surgery, Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Hand Surgery, Orthopedic Surgery | TX | |
| Nurse Practitioner | TX | |
| Diagnostic Radiology | TX | |
| Physical Medicine And Rehabilitation | IL | |
| Diagnostic Radiology | TX | |
| Physician Assistant | TX |
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