DR. CORA KLOTZBACH (PSYD) – Psychologist, NPI 1356495808
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
49 CLINICAL PSYCHOLOGIST in WY
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Provider Addresses for DR. CORA KLOTZBACH (PSYD)
724, Front Street, Evanston, Uinta County, Wyoming, 82930, United States
SUITE 230
EVANSTON, WY 82930
Phone: (307) 789-6773
Fax: (307) 789-3244
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.
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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: 2007-08-31
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 |
|---|---|---|---|---|
| I20070831000644 | I | Clinical Psychologist | 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 |
|---|---|---|---|---|
| 90853 | Group psychotherapy | 50 | 12 | $0 |
Insurance plans in this area (ZIP 82930)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | WY | 90853 | Group psychotherapy | 210 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | WY | |
| Clinical Psychologist | WY | |
| Clinical Psychologist | WY |
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