JOHN R VIPPERMAN (PAC) – Medical Physician Assistant, NPI 1992787980
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 PHYSICIAN ASSISTANT in WY
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Provider Addresses for JOHN R VIPPERMAN (PAC)
Big Horn Avenue, Cody, Park County, Wyoming, United States
CODY, WY 824149208
Phone: (307) 578-1955
Fax: (307) 578-1979
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)
CMS reports 108 Open Payments records for all available years, with a total value of $3,034.
Total Amount is formed as General ($3,034) + Research ($0) + Ownership ($0) = $3,034.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($314).
Total Amount
$3,034
General + Research + Ownership
Payments
108
Total payment records
General Amount
$3,034
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $314 |
| Merck Sharp & Dohme LLC | $186 |
| PFIZER INC. | $184 |
| Astellas Pharma US Inc | $155 |
| ABBVIE INC. | $147 |
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: 2010-06-03
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 |
|---|---|---|---|---|
| I20100603000001 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 20 | 19 | $0 |
Insurance plans in this area (ZIP 82414)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WY | |
| - | ID | |
| Nurse Practitioner | WY | |
| Orthopedic Surgery | WI | |
| - | OR | |
| R H E U M A T O L O G Y | MT | |
| Emergency Medicine | WY | |
| Orthopedic Surgery | WY | |
| - | WY | |
| Nurse Practitioner | CA |
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