EZDAN A FLUCKIGER (M.D.) – Family Medicine Physician, NPI 1326146846

EZDAN A FLUCKIGER (M.D.) is a healthcare provider. based in Torrington, Wyoming. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 6099A (WY). The NPI Number for EZDAN A FLUCKIGER (M.D.) is 1326146846

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
EZDAN A FLUCKIGER (M.D.)
NPI
1326146846
Phone
Not provided
Address
625 ALBANY AVE
Enumeration Date
20 September 2006
Last Update Date
5 January 2011

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
3075324181
Graduation Year
1995 (31 years ago)
PAC ID
7214847680
Group Practice PAC ID
6608784194
Professional Enrollment ID
I20051121000986
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 EZDAN A FLUCKIGER (M.D.)

  • 625, Albany Avenue, Torrington, Goshen County, Wyoming, 82240, United States

    TORRINGTON, WY 822401530

    Phone:

    Mailing address matches the actual address.

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: 2005-11-21

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
I20051121000986IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82240)

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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: 6608784194View full group profile
NameSpecialtyState
Mental Health CounselorWY
-WY
Nurse PractitionerWY
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)NE
Family PracticeWY
Nurse PractitionerWY
Clinical Social WorkerWY
-UT
-CA

Reviews

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Frequently asked questions

What is EZDAN A FLUCKIGER (M.D.)'s NPI number?
EZDAN A FLUCKIGER (M.D.)'s NPI is 1326146846 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to EZDAN A FLUCKIGER (M.D.)?
You should see EZDAN A FLUCKIGER (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with EZDAN A FLUCKIGER (M.D.)?
EZDAN A FLUCKIGER (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is EZDAN A FLUCKIGER (M.D.) located near Torrington?
EZDAN A FLUCKIGER (M.D.) currently maps to Torrington, Wyoming in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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