Black Hills Orthopedic & Spine Center of Wyoming PC
A Medicare group practice based in Gillette, WY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4789929357), with 19 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4789929357
- Also listed as
- Black Hills Orthopedic and Spine Center of Wyoming PC
- Provider type
- DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WY
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20181231001466 | WY | Part B Supplier - Clinic/Group Practice | 1538644679 |
| O20190501000529 | WY | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1659835171 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Black Hills Orthopedic & Spine Center of Wyoming PC
- Orthopaedic Surgery Physician
- Gillette, WY
- NPI 1538644679
-
Black Hills Orthopedic & Spine Center of Wyoming PC
- Durable Medical Equipment & Medical Supplies
- Gillette, WY
- NPI 1659835171
Practice locations
- Gillette, WY2
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 75 of 100
Clinicians 19
Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (11).
-
David Alden Boedeker, PA-C
- Medical Physician Assistant
- Lansing, MI
- NPI 1508311085
-
Margaret M Chilvers, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Rapid City, SD
- NPI 1528075256
-
Chyna Brooke Connely, APRN, FNP-C
- Family Nurse Practitioner
- Sheridan, WY
- NPI 1124792163
-
Aaron Douglas Dykstra, M.D.
- Orthopaedic Hand Surgery Physician
- Rapid City, SD
- NPI 1558410407
-
Noah J Forrey, PA-C
- Physician Assistant
- Gillette, WY
- NPI 1467103069
-
Christian Jay Gaffney, MD
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1972860534
-
Mitch Grieve
- Physician Assistant
- Rapid City, SD
- NPI 1538543608
-
Robert Grunfeld, M.D.
- Orthopaedic Surgery Physician
- Gillette, WY
- NPI 1225264344
-
Jacob Lewis Hemenway, PAC
- Surgical Physician Assistant
- Rapid City, SD
- NPI 1982123725
-
Warren Kothrade
- Acute Care Nurse Practitioner
- Cleveland, OH
- NPI 1518566157
-
Daniel Jacob Liechti, MD
- Orthopaedic Surgery Physician
- Green Bay, WI
- NPI 1568817716
-
Robert D Maclachlan, M.D.
- Neurology Physician
- Rapid City, SD
- NPI 1265491195
-
Jeffrey S Marrs, MD
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1093795767
-
Emmett Terrance McEleney, M.D.
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1093790115
-
Monica L Morman, MD
- Orthopaedic Hand Surgery Physician
- Gillette, WY
- NPI 1962497958
-
Samuel L Mortimer, MD
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1073727897
-
Kelsey Olson
- Family Nurse Practitioner
- Gillette, WY
- NPI 1568035236
-
Daniel Scott Palmer, PA-C
- Physician Assistant
- Rapid City, SD
- NPI 1295705465
-
Robert James Woodruff, M.D.
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1669513552
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.