TREVOR HANSEN (MD) – Dermatology Physician, NPI 1043769011

TREVOR HANSEN (MD) is a healthcare provider. based in Portland, Oregon. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 010127868 (VA). The NPI Number for TREVOR HANSEN (MD) is 1043769011

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR HANSEN (MD)
NPI
1043769011
Phone
(435) 232-6558
Address
3181 SW Sam Jackson Park Rd
Enumeration Date
30 September 2016
Last Update Date
31 May 2023

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7032127546
Graduation Year
2018 (8 years ago)
PAC ID
0345623732
Group Practice PAC ID
8820181365
Professional Enrollment ID
I20230815003166
Address ID
VA222069907AR2900XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

232 DERMATOLOGY in OR

Provider Addresses for TREVOR HANSEN (MD)

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (435) 232-6558

    Type: Location

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone:

    Type: Mailing

  • 1900 N BEAUREGARD ST STE 110

    ALEXANDRIA, VA 223111716

    Phone: (703) 212-7546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $930.

Total Amount is formed as General ($930) + Research ($0) + Ownership ($0) = $930.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($328).

Total Amount

$930

General + Research + Ownership

Payments

36

Total payment records

General Amount

$930

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2023-08-15

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
I20230815003166IDermatologyDCTBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks8673$0
17003Destruction of precancer skin growth, 2-14 growths8019$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks3527$0
17000Destruction of precancer skin growth, 1 growth3131$0
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm2524$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 8820181365View full group profile
NameSpecialtyState
-VA
D E R M A T O L O G YNJ
D E R M A T O L O G YVA
Physician AssistantDC
D E R M A T O L O G YDC

Reviews

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Frequently asked questions

Is there an official ID for TREVOR HANSEN (MD) in U.S. healthcare records?
The official identifier for TREVOR HANSEN (MD) is NPI 1043769011.
Would TREVOR HANSEN (MD) appear as active to a payer?
You can treat TREVOR HANSEN (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe TREVOR HANSEN (MD)'s focus?
For TREVOR HANSEN (MD), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with TREVOR HANSEN (MD)?
Directory geography for TREVOR HANSEN (MD) centers on Portland, Oregon.
When was this NPI issued?
Enumeration for TREVOR HANSEN (MD) is noted as September 30, 2016 where the registry provides it.

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