Unknown Individual – Physician Assistant, NPI 1811084080
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 1073
BIG PINEY, WY 831131073
Phone: (307) 276-3238
Fax: (307) 276-4707
Type: Mailing
2761 COMMERCIAL WAY
ROCK SPRINGS, WY 82901
Phone: (307) 382-3064
Fax: (307) 382-3033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: ABBVIE INC. ($86).
Total Amount
$86
General + Research + Ownership
Payments
4
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $86 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 250 | 149 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 61 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 40 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 45 | 18 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 45 | 33 | $0 |
Insurance plans in this area (ZIP 83113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CT | |
| Nurse Practitioner | ID | |
| Physician Assistant | WA | |
| - | ID | |
| Physician Assistant | FL | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
Reviews
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