Doctor profile · Federal record
Dr. Jack Trebelhorn, MD
Urology Physician (CMS: Urology) · Student in an Organized Health Care Education/Training Program · Saint Clair Shores, MI
- NPI 1619331998
- Accepts Medicare
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
20952 E 12 Mile RD Ste 200
Saint Clair Shores, MI 480813203
(586) 771-4820
fax (303) 485-3377
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- June 9, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 208800000X — NUCC code
- State license (1)
- Colorado #DR.0067578
- Medicaid
- MI #1619331998
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619331998. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,765
Distinct HCPCS
10
Medicare allowed
$117,592
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
81003 |
Automated urinalysis test | 419 | 270 | $2 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 342 | 241 | $120 | |
51798 |
Ultrasound measurement of bladder capacity after voiding | 180 | 139 | $10 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 137 | 106 | $75 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 127 | 120 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 101 | 71 | $85 | |
84153 |
Psa (prostate specific antigen) measurement, total | 96 | 78 | $18 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 58 | 51 | $226 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $155 | |
76770 |
Complete ultrasound scan behind abdominal cavity | 46 | 24 | $49 |
In context: peer comparison
Among 4 peers in Saint Clair Shores Urology Physician, average services per provider: 138. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$731
Transactions
21
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 4 | $201.68 | |
| Procept BioRobotics Corporation | 3 | $166.04 | |
| Axonics, INC. | 2 | $137.71 | |
| Sumitomo Pharma America, INC. | 2 | $42.16 | |
| Antares Pharma, INC. | 2 | $41.10 | |
| Boston Scientific Corporation | 2 | $36.58 | |
| Astellas Pharma US INC | 2 | $35.29 | |
| Bioprotect Medical, INC. | 2 | $31.64 | |
| Urogen Pharma, INC. | 1 | $25.47 | |
| Abbvie INC. | 1 | $13.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
594
Patients
295
Total drug cost
$43,573
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 199 | 92 | $5,020 |
| Finasteride | Generic | 73 | 31 | $1,508 |
| Ciprofloxacin Hcl | Generic | 51 | 47 | $160 |
| Terazosin Hcl | Generic | 46 | 21 | $1,108 |
| Cephalexin | Generic | 35 | 32 | $164 |
| Solifenacin Succinate | Generic | 29 | 16 | $2,447 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 25 | 22 | $72 |
| Oxybutynin Chloride ER (Oxybutynin Chloride) | Brand | 24 | 12 | $1,232 |
| Methenamine Hippurate | Generic | 22 | 0 | $1,608 |
| Myrbetriq (Mirabegron) | Brand | 21 | 0 | $21,348 |
Hospital affiliations
Frequently asked questions
What is Dr. Jack Trebelhorn's medical specialty?
Dr. Jack Trebelhorn practices Urology Physician in Saint Clair Shores, MI.
Where does Dr. Jack Trebelhorn practice?
Dr. Jack Trebelhorn practices at 20952 E 12 Mile RD Ste 200, Saint Clair Shores, MI 480813203. Office phone: 5867714820.
What is Dr. Jack Trebelhorn's NPI?
Dr. Jack Trebelhorn's National Provider Identifier (NPI) is 1619331998, issued by NPPES.
Does Dr. Jack Trebelhorn accept Medicare assignment?
Yes. Dr. Jack Trebelhorn accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Trebelhorn commonly perform?
Top Medicare-reported procedures in 2023: Automated urinalysis test (HCPCS 81003); Established patient office or other outpatient visit (HCPCS 99214); Ultrasound measurement of bladder capacity after voiding (HCPCS 51798). Source: CMS Medicare Physician & Other Practitioners file.