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DR. TREVOR DOUGLAS VAN DE WATER MD
NPI 1487278875
Anesthesiology - Pain Medicine in Fayetteville, NC

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment
260 ROBESON ST, FAYETTEVILLE, NC 28301(910) 984-8311(919) 787-7247 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2026, Jul 1, 2025, Jun 16, 2025 and 3 more (6 updates tracked since 2020).

About Dr. Trevor Douglas Van De Water Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TREVOR DOUGLAS VAN DE WATER MD (NPI 1487278875) is an individual pain medicine provider in Fayetteville, North Carolina, licensed in North Carolina (2025-01885) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of South Carolina School Of Medicine, Greenville (2020).

NPPES Registry Identity

NPI1487278875
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. TREVOR DOUGLAS VAN DE WATERCredential: MD
Location Address260 ROBESON STFayetteville, NC 28301-5573
Mailing Address3801 Wake Forest Rd Ste 210Raleigh, NC 27609-6864 · (919) 787-7246 · Fax (919) 787-7247
Phone(910) 984-8311
Fax(919) 787-7247
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of Medicine, GreenvilleGraduated 2020
Enumeration DateJune 2, 2020
Last NPPES UpdateMarch 13, 20266 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1487278875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Licenses✔ Licensed in NC · 2025-01885✔ Licensed in MD · D0099403
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 11977 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
260 ROBESON ST, Fayetteville, NC 28301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11459 Laney Walker BlvdAugusta, GA 30912-0004 · Phone (706) 721-0180
Location 2601 N Caroline StBaltimore, MD 21287-0006 · Phone (410) 955-7246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Trevor Douglas Van De Water Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507280310
PECOS Enrollment IDI20250827002549
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Trevor Van De Water reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Spine & Pain Specialists PC
48 mi
Pain Medicine
115 KILDAIRE PARK DRIVE, SUITE 205
Cary, NC 27518
  • Reassigned Medicare billing, North Carolina enrollment
  • 38 clinicians in this Medicare group
NPI 1568696748 (919) 787-7246

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIHWA K ALLEN
Massage Therapist
260 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 797-7193
KIMBERLY ANNE MAYNARD NP
Nurse Practitioner
260 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (919) 787-7247
DONNA JEAN MITCHELL-BARNES PA-C
Physician Assistant
260 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 984-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Van De Water's NPI number?

The NPI number for Trevor Van De Water is 1487278875. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Trevor Van De Water located?

Trevor Van De Water practices at 260 Robeson St, Fayetteville, NC 28301. The listed phone number is (910) 984-8311.

What is Trevor Van De Water's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Trevor Van De Water enrolled in Medicare?

Yes. Trevor Van De Water is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Trevor Van De Water's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Van De Water reassigns Medicare benefits to Wake Spine & Pain Specialists PC (Cary, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Trevor Van De Water's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trevor Van De Water accept?

Health plans from Blue Cross and Blue Shield of NC list Trevor Van De Water as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trevor Van De Water was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.