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Active NPI 1770125577 Individual Practitioner Male Practitioner

Trevor Ingraham

Physician Assistant • Novi, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Trevor Ingraham is a certified Physician Assistant practicing in Novi, MI. With approximately 6 years of clinical experience since completing medical education in 2020, Trevor Ingraham delivers high-quality medical care to the local community at 39465 W 14 MILE RD.

Trevor Ingraham is affiliated with Behavioral Care Solutions For Adults And Seniors Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, psychiatric diagnostic evaluation with medical services, care management services for behavioral health conditions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

39465 W 14 Mile Rd

Novi, MI 483771600

Telephone 2488593900
Fax 8884830118
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Novi, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.7 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
71 Specialists

Practicing in Novi, MI (7057 Statewide)

Telehealth Adoption Rate
12.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ingraham (6 Years) 6 Yrs
Novi Specialty Average (11.7 Years) 11.7 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
286 150 $200.00 $90.91
90792 Psychiatric diagnostic evaluation with medical services
131 131 $400.00 $164.34
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional
105 36 $90.00 $46.91
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
99 82 $300.00 $130.68

Medical Specialties & State Licenses

CMS Verified: 2024-11-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Behavioral Care Solutions For Adults And Seniors Inc

39465 W 14 Mile Rd, Novi, MI 483771600

Phone: 8779069699

Behavioral Care Solutions For Adults And Seniors Inc

39465 W 14 Mile Rd, Novi, MI 483771600

Secondary Practice Locations

21844 23 Mile Rd

Macomb, MI 480424422

Phone: 5862131492

22471 Gratiot Ave

Eastpointe, MI 480212353

Phone: 5862187774

Practice Associates & Co-Workers

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

19 Associated Practitioners
Leslie Witherell , MSW, LISW

Social Worker - Clinical

NPI 1013967702

Master of Social Work, Licensed Independent Social Worker

NPI 1083171987

Licensed Master Social Worker

Toni Lindsey , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154125912

Nurse Practitioner

Josilyn Goebel , NP

Nurse Practitioner - Adult Health

NPI 1184107427

Nurse Practitioner

Karri Sackrider

Social Worker - Clinical

NPI 1215427356
Melanie Finamore

Nurse Practitioner

NPI 1215965603

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 18, 2024

Registered at 39465 W 14 MILE RD, NOVI, MI 483771600 (Tel: 2488593900)

📍
Updated Business Mailing Address November 18, 2024

Registered at 39465 W 14 MILE RD, NOVI, MI 483771600 (Tel: 2488593900)

📍
Updated Practice Location October 13, 2023

Registered at 21844 23 MILE RD, MACOMB, MI 480424422 (Tel: 5862131492)

📍
Updated Business Mailing Address October 13, 2023

Registered at 21844 23 MILE RD, MACOMB, MI 480424422

📍
Updated Practice Location February 24, 2021

Registered at 22471 GRATIOT AVE, EASTPOINTE, MI 480212353 (Tel: 5862187774)

NPI Profile Active October 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2019

Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311615 (Tel: 7144497400)

📍
Updated Business Mailing Address October 13, 2019

Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311615

👤
Provider Name / Credentials Updated October 13, 2019

Recorded as TREVOR INGRAHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 13, 2019

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: 1770125577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2019
Last Update: November 18, 2024
Sole Proprietor: No

Mailing Address

39465 W 14 Mile Rd

Novi, MI 483771600

Phone: 2488593900

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.