MARY WIDENER – Physician Assistant, NPI 1508164856
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
324 PHYSICIAN ASSISTANT in WY
Provider Addresses for MARY WIDENER
407 S MEDICAL ARTS CT STE F
GILLETTE, WY 827163372
Phone:
Type: Mailing
1401 W 5th St
Sheridan, WY 828012705
Phone: (307) 672-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-04-07 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $18 |
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: 2017-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130723000954 | I | Physician Assistant | WY | TBD |
| I20171228002908 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 36 | 34 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 29 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 19 | $0 |
Insurance plans in this area (ZIP 82716)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WY | |
| - | WY | |
| - | WY | |
| Physician Assistant | WY | |
| - | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY | |
| General Surgery | WY | |
| Physician Assistant | UT | |
| General Surgery | ID | |
| Qualified Audiologist | WY |
Reviews
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