STANFORD T ISRAELSEN (MD) – Orthopaedic Surgery Physician, NPI 1093961179
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
85 ORTHOPEDIC SURGERY in WY
Loading map...
Provider Addresses for STANFORD T ISRAELSEN (MD)
508, Stocktrail Avenue, Gillette, Campbell County, Wyoming, 82718, United States
SUITE A
GILLETTE, WY 827163582
Phone: (307) 686-1413
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $501.
Total Amount is formed as General ($501) + Research ($0) + Ownership ($0) = $501.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($357).
Total Amount
$501
General + Research + Ownership
Payments
6
Total payment records
General Amount
$501
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $357 |
| Heron Therapeutics, Inc. | $89 |
| Nevro Corp. | $22 |
| Gemini Mountain Medical, LLC | $17 |
| SANOFI-AVENTIS U.S. LLC | $15 |
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: 2014-09-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140917001937 | I | Orthopedic Surgery | WY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 788 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 281 | 203 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 142 | 110 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 124 | 99 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $0 |
Insurance plans in this area (ZIP 82716)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | IL | |
| - | WY | |
| Hospitalist, Family Practice | LA | |
| Internal Medicine | IL | |
| Emergency Medicine | ND | |
| - | WY | |
| - | WY | |
| Clinical Social Worker | WY | |
| Nurse Practitioner | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.