DANIEL RYAN KISICKI (MD) – Family Medicine Physician, NPI 1902060833
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
328 FAMILY PRACTICE in WY
Provider Addresses for DANIEL RYAN KISICKI (MD)
1950 BLUEGRASS CIR
SUITE 200
CHEYENNE, WY 820097323
Phone: (307) 778-2577
Type: Location
1950 Bluegrass Cir
Suite 200
Cheyenne, WY 820097323
Phone: (307) 778-2577
Type: Location
4017 RAWLINS ST
CHEYENNE, WY 820011800
Phone: (307) 635-2562
Fax: (307) 638-2074
Type: Location
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: 2013-05-29
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 |
|---|---|---|---|---|
| I20130529000268 | I | Family Practice | 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 | 153 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 106 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 66 | 66 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 39 | 33 | $0 |
| 73562 | X-ray of knee, 3 views | 34 | 31 | $0 |
Insurance plans in this area (ZIP 82009)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| N E P H R O L O G Y | KY | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| - | WY | |
| Internal Medicine, Internal Medicine, Hospitalist | CO | |
| Physician Assistant | WY | |
| N E U R O L O G Y | WY | |
| Family Practice | WY | |
| Physical Therapist In Private Practice | WY | |
| Physical Therapist In Private Practice | WY |
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