ZACHORY FRED DEISS (MD) – Family Medicine Physician, NPI 1033286422

ZACHORY FRED DEISS (MD) is a healthcare provider. based in Casper, Wyoming. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4193A (WY). The NPI Number for ZACHORY FRED DEISS (MD) is 1033286422

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
ZACHORY FRED DEISS (MD)
NPI
1033286422
Phone
(307) 234-6161
Address
1522 E A ST
Enumeration Date
29 November 2006
Last Update Date
22 October 2012

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3076322434
Graduation Year
1987 (39 years ago)
PAC ID
9133257710
Group Practice PAC ID
4183607054
Professional Enrollment ID
I20100503000806
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ZACHORY FRED DEISS (MD)

  • 1522, East A Street, Casper, Natrona County, Wyoming, 82601, United States

    CASPER, WY 826012217

    Phone: (307) 234-6161

    Type: Location

  • South Absaroka Street, Powell, Park County, Wyoming, 85435, United States

    POWELL, WY 824359225

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100503000806IFamily PracticeWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80053Blood test, comprehensive group of blood chemicals3433$0
80061Blood test, lipids (cholesterol and triglycerides)3333$0
83036Hemoglobin a1c level2626$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test2522$0
80048Blood test, basic group of blood chemicals (calcium, total)1613$0
View full utilization report →

Insurance plans in this area (ZIP 82601)

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Provider's Procedures

ZACHORY FRED DEISS (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWY83036Hemoglobin A1C level4035

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183607054View full group profile
NameSpecialtyState
Clinical Social WorkerWY
Qualified Speech Language PathologistWY
Qualified Speech Language PathologistWY
Psychiatry, Addiction MedicineWY
-WA
Physician AssistantWY
Nurse PractitionerWY
Qualified AudiologistWY
Family PracticeWY
Family PracticeWY

Reviews

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Frequently asked questions

Can I verify ZACHORY FRED DEISS (MD) with an NPI only?
You can start verification with NPI 1033286422 for ZACHORY FRED DEISS (MD), then check state licensing separately.
Does the file indicate ZACHORY FRED DEISS (MD) is practicing under active NPI?
Directory data currently reports ZACHORY FRED DEISS (MD) as active.
What healthcare role does ZACHORY FRED DEISS (MD) hold?
Scheduling teams often label ZACHORY FRED DEISS (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does ZACHORY FRED DEISS (MD) serve?
ZACHORY FRED DEISS (MD)'s listing highlights Casper, Wyoming; more addresses can appear in NPPES.
Is the information about ZACHORY FRED DEISS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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