Physician

Trevor Gessel, M.D.

According to 2025 Medicare claims, Trevor Gessel, M.D. (NPI: 1992110977) practices physical medicine and rehabilitation in the Casper, WY market, with the plurality of this provider's patient population coming from Natrona, WY. This provider's primary affiliated billing organization is CASPER ORTHOPAEDIC ASSOCIATES PC (NPI: 1962494864; TIN: 830231437) and primary practice location at 82609-3265.

Gessel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 708 traditional Medicare patients, billed 5,073 HCPCS/CPT codes, and received $170,239 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 680 prescription claims across 190 beneficiaries totaling $10,035 in drug costs, led by Gabapentin (Gabapentin). DME data shows 28 claims. Open Payments data shows 1 records totaling $150. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $33,866 to $170,239. Similarly, Part D prescription costs have moved sharply higher in recent years, from $2,564 to $10,035. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	151	812	$33,866
2020	385	2,369	$104,289
2021	548	4,247	$164,124
2022	606	5,082	$166,296
2023	691	3,851	$157,170
2024	708	5,073	$170,239

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	17	70	$2,564
2016	N/R	42	$1,459
2017	N/R	17	$1,700
2018	N/R	11	$299
2019	17	27	$606
2020	45	124	$2,544
2021	67	205	$3,171
2022	97	341	$4,450
2023	163	547	$7,611
2024	190	680	$10,035

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	23	$17,883
2022	157	230	$121,010
2023	85	99	$42,032
2024	13	28	$17,996

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	155	193	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	108	$93
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$78
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	332	503	$67
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	114	144	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	153	5,218	$3,302
Duloxetine Hcl	Duloxetine Hcl	95	3,403	$1,337
Diclofenac Sodium	Diclofenac Sodium	110	3,326	$1,324
Pregabalin	Pregabalin	69	2,237	$937
Celecoxib	Celecoxib	42	1,332	$763

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L5673	Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism	N	13	13	$17,885
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	N/R	15	$111

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$150	NeuroLogica Corporation, a subsidiary of Samsung Electronics Co., Ltd.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Trevor Gessel, M.D.?

Tedicare shows public-source Medicare data for Trevor Gessel, M.D. (NPI 1992110977), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Trevor Gessel, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Trevor Gessel, M.D.?

Trevor Gessel, M.D. is linked to CASPER ORTHOPAEDIC ASSOCIATES PC (billing NPI 1962494864) in the available physician profile data.

Does Trevor Gessel, M.D. have Open Payments data?

Trevor Gessel, M.D. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.