DR. LORI KOO TROUT (MD) – Family Medicine Physician, NPI 1780769893

DR. LORI KOO TROUT (MD) is a healthcare provider. based in Galveston, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD486245 (PA). The NPI Number for DR. LORI KOO TROUT (MD) is 1780769893

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. LORI KOO TROUT (MD)
NPI
1780769893
Phone
(409) 256-5749
Address
6119 SEA ISLE
Enumeration Date
26 October 2006
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8149429600
Graduation Year
2002 (24 years ago)
PAC ID
6305837972
Group Practice PAC ID
9234046228
Professional Enrollment ID
I20240823002089
Address ID
PA166013100AL1701XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. LORI KOO TROUT (MD)

  • Sea Isle, Galveston, Galveston County, Texas, United States

    GALVESTON, TX 775549628

    Phone: (409) 256-5749

    Fax: (409) 256-5749

    Type: Mailing

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775551022

    Phone: (409) 772-2222

    Fax: (409) 772-0885

    Type: Location

  • 400 HIGHLAND AVE

    LEWISTOWN, PA 170441167

    Phone: (409) 256-5751

    Type: Mailing

  • 1701 12TH AVE

    ALTOONA, PA 166013100

    Phone: (814) 942-9600

    Fax: (814) 942-9617

    Type: Location

  • 100 SHENANGO AVE

    SHARON, PA 161461503

    Phone: (814) 942-9600

    Fax: (814) 942-9617

    Type: Mailing

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: 2024-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040521000625IPhysician AssistantTXTBD
I20240823002089IFamily PracticePATBD

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 77554)

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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: 9234046228View full group profile
NameSpecialtyState
-PA
C H I R O P R A C T I CPA
Mental Health CounselorPA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Clinical Social WorkerPA
Mental Health CounselorPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do payers reference DR. LORI KOO TROUT (MD)?
For DR. LORI KOO TROUT (MD), use NPI 1780769893 as the unique 10-digit identifier.
Is DR. LORI KOO TROUT (MD) shown as active in public data?
Registry records indicate DR. LORI KOO TROUT (MD) maintains an active NPI.
What kind of doctor is DR. LORI KOO TROUT (MD)?
DR. LORI KOO TROUT (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LORI KOO TROUT (MD) located near Galveston?
DR. LORI KOO TROUT (MD) currently maps to Galveston, Texas in this extract.
Does DR. LORI KOO TROUT (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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