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Active NPI 1366871972 Individual Practitioner Male Practitioner

Trevor G Wall , PA-C

Physician Assistant - Surgical • Durango, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Trevor Wall, PA-C is a certified Physician Assistant - Surgical practicing in Durango, CO. With approximately 19 years of clinical experience since completing medical education in 2007, Trevor Wall delivers high-quality medical care to the local community at 1 MERCADO ST.

Trevor Wall is affiliated with Catholic Health Initiatives Colorado and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of wrist, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Mercado St
Ste 202

Durango, CO 813017306

Telephone 9702475362
Fax 9702596045
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Durango, CO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -1.8 yrs vs City Avg
City Avg: 20.8 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Durango, CO (708 Statewide)

Telehealth Adoption Rate
30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (19 Years) 19 Yrs
Durango Specialty Average (20.8 Years) 20.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
286 33 $5.00 $0.98
99213 Established patient office or other outpatient visit, typically 15 minutes
107 75 $336.00 $77.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
34 33 $473.00 $109.02
73110 X-ray of wrist, minimum of 3 views
30 15 $158.00 $36.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
27 27 $414.00 $95.63
73502 X-ray of hip, 2-3 views
25 17 $181.00 $41.66
20610 Aspiration and/or injection of fluid from large joint
24 18 $267.21 $61.63
73030 X-ray of shoulder, minimum of 2 views
21 18 $133.00 $30.48
20600 Aspiration and/or injection of fluid from small joint
20 14 $227.70 $52.17
20550 Injection into tendon or ligament
17 16 $220.29 $51.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
17 15 $26.00 $6.89
27130 Replacement of thigh bone and hip joint with prosthesis
17 17 $751.52 $174.04

Medical Specialties & State Licenses

CMS Verified: 2026-02-09
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License CO PA.0003986

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NM PA2013-0074

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
57729301 (CO)

Hospital & Practice Group Affiliations

Catholic Health Initiatives Colorado

1 Mercado St, Durango, CO 813017307

Phone: 9707649400

Catholic Health Initiatives Colorado

41 State Hwy 67, Woodland Park, CO 808635008

Phone: 7197764780

Catholic Health Initiatives Colorado

1010 Three Springs Blvd, Durango, CO 813018296

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Peter Jamieson , PA

Physician Assistant

NPI 1023073475

Physician Assistant

Emily Billstein , PA-C

Physician Assistant

NPI 1174906754

Physician Assistant (Certified)

Dr. Robert Goodman , MD

Orthopaedic Surgery

NPI 1225093818

Doctor of Medicine (M.D.)

Dr. Kim Furry , MD

Orthopaedic Surgery

NPI 1669423240

Doctor of Medicine (M.D.)

Dr. Gary Scott , MD

Orthopaedic Surgery

NPI 1699727354

Doctor of Medicine (M.D.)

Ann Theine , PA-C

Physician Assistant - Surgical

NPI 1821049750

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2026

Physician Assistant (License #PA2013-0074 in NM)

NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2015

Registered at 1 MERCADO ST, STE 202, DURANGO, CO 813017306 (Tel: 9702475362)

📍
Updated Business Mailing Address August 11, 2015

Registered at 1 MERCADO ST, STE 202, DURANGO, CO 813017306 (Tel: 9702475362)

👤
Provider Name / Credentials Updated August 11, 2015

Recorded as TREVOR WALL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Physician Assistant (License #PA. 0003986 in CO)

🟢
Initial NPI Registration & Enumeration November 04, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366871972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2013
Last Update: February 09, 2026
Sole Proprietor: No

Mailing Address

1 Mercado St, Ste 202

Durango, CO 813017306

Phone: 9702475362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.