ROBIN TREVISON D.M.D
NPI 1962620088
Dentist - General Practice in Coal City, IL

Active since April 23, 2007Opted out of Medicare · through Mar 28, 2028
645 E DIVISION ST, COAL CITY, IL 60416(815) 634-4999(815) 634-0014 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robin Trevison D.m.d NPPES

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

ROBIN TREVISON D.M.D (NPI 1962620088) is an individual general practice provider in Coal City, Illinois and active in the NPI registry since April 2007. She has opted out of Medicare through March 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962620088
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameROBIN TREVISONCredential: D.M.D
Location Address645 E DIVISION STCoal City, IL 60416-1679
Mailing Address645 E Division StCoal City, IL 60416-1679 · (815) 634-4999 · Fax (815) 634-0014
Fax(815) 634-0014
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1962620088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
645 E DIVISION ST, Coal City, IL 60416

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Robin Trevison D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2016 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2016
Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60416 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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

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

Dentist (General Practice)
645 E DIVISION ST
COAL CITY, IL 60416

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 Robin Trevison's NPI number?

The NPI number for Robin Trevison is 1962620088. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Robin Trevison located?

Robin Trevison practices at 645 E Division St, Coal City, IL 60416. The listed phone number is (815) 634-4999.

What is Robin Trevison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Robin Trevison enrolled in Medicare?

No. Robin Trevison has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robin Trevison was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.