TREVOR OCTAVIO
NPI 1730708843
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Trevor Octavio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TREVOR OCTAVIO (NPI 1730708843) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Trevor Octavio 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.
Medicare Billing Reassignment
Medicare enrollment records show Trevor Octavio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gilbert, AZ 85234
- Reassigned Medicare billing, Arizona enrollment
- 1,081 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85006
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 Octavio's NPI number?
The NPI number for Trevor Octavio is 1730708843. It was assigned to this individual provider in the NPPES registry on April 9, 2020.
Where is Trevor Octavio located?
Trevor Octavio practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (724) 961-3349.
What is Trevor Octavio's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Trevor Octavio enrolled in Medicare?
Yes. Trevor Octavio 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 Octavio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Octavio reassigns Medicare benefits to Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ). 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 Octavio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Trevor Octavio was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Trevor Octavio · NPI 1730708843
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 9, 2020.
## Identity
- **NPI:** 1730708843 (Entity type: Individual)
- **Enumerated:** April 9, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 E MCDOWELL RD, Phoenix, AZ 85006-2612
- **Phone:** (724) 961-3349
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Hospital Based Physicians Arizona LLC (NPI 1124374822, Gilbert, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730708843) · Data from the CMS NPPES public registry.