TREVOR INGRAHAM
NPI 1770125577
Physician Assistant in Novi, MI

Q: What is Trevor Ingraham's NPI number?

The NPI number for Trevor Ingraham is 1770125577. It was assigned to this individual provider in the NPPES registry on October 13, 2019.

Q: What is Trevor Ingraham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Ingraham was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 13, 2019PECOS EnrolledAccepts Medicare Assignment

39465 W 14 MILE RD, NOVI, MI 48377(248) 859-3900(888) 483-0118 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 18, 2024, Oct 13, 2023, Feb 24, 2021 and 1 more (4 updates tracked since 2019).

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About Trevor Ingraham NPPES

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

TREVOR INGRAHAM (NPI 1770125577) is an individual physician assistant in Novi, Michigan and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770125577

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTREVOR INGRAHAM

Location Address39465 W 14 MILE RDNovi, MI 48377-1600

Mailing Address39465 W 14 Mile RdNovi, MI 48377-1600 · (248) 859-3900 · Fax (888) 483-0118

Phone(248) 859-3900

Fax(888) 483-0118

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 13, 2019

Last NPPES UpdateNovember 18, 20244 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1770125577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

39465 W 14 MILE RD, Novi, MI 48377

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Secondary Practice Locations 2

Location 121844 23 Mile RdMacomb, MI 48042-4422 · Phone (586) 213-1492

Location 222471 Gratiot AveEastpointe, MI 48021-2353 · Phone (586) 218-7774

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trevor Ingraham 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 ID8820405780

PECOS Enrollment IDI20210322001864

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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

286 services150 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

131 services131 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

105 services36 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

99 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EMILY LAUREN KOROBKIN LMSW

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