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
4789929357The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Black Hills Orthopedic and Spine Center of Wyoming PCName in Care Compare
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
WY
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 2 clinicians in this group

Clinicians 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (11).

Sources for this page