Individual provider Active NPI

Sandra Susanne Gebhart, MD

  • Orthopaedic Hand Surgery Physician
  • Gillette, WY
National Provider Identifier
1164865796
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
12214A Issued in WY
Practice address
2901 Powder Basin Ave
Gillette, WY 82718-6406
Phone
(307) 682-6222
Fax
(307) 682-6999
NPI assigned
Apr 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2018013765 MO
Orthopaedic Hand Surgery Physician 207XS0106X 12214A WY Primary

Addresses

Primary practice location

2901 Powder Basin Ave
Gillette, WY 82718-6406

Mailing address

PO Box 688
Douglas, WY 82633-0688
Phone (307) 358-6200

Other practice location 1

808 Riverbend Dr
Douglas, WY 82633-2054
Phone (307) 358-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916000544 WY Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1759683527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thunder Basin Orthopaedics and Sports Medicine PCGroup PAC ID 0840269189, 5 clinicians

Practice addresses (Care Compare)

2901 Powder Basin Ave
Gillette, WY 82718-6406
Phone (307) 682-6222

Hospital & facility affiliations

  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Summit Medical Center Hospital, Casper, WY, CCN 530034
  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006
  • Johnson County Healthcare Center Hospital, Buffalo, WY, CCN 531308

Merit-based Incentive Payment System (MIPS)

Final score
76.14 of 100Reported as group
Quality
83.68
Promoting interoperability
100
Improvement activities
40
Cost
36.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)40
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018013765MOMDOrthopaedic Surgery Physician
12214AWYMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Converse County Current Accepting new patients
Memorial Hospital of Converse County CurrentSince Sep 1, 2019 Accepting new patients
Advanced Surgical Care of Wyoming, LLC CurrentSince Aug 8, 2019 Accepting new patients
Thunder Basin Orthopaedics and Sports Medicine PC Orthopaedic Surgery CurrentSince Aug 8, 2019 Accepting new patients

Locations

1541 Diamond Dr
Casper, WY 82601
Phone (307) 224-2060

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

808 Riverbend Dr
Douglas, WY 82633
Phone (307) 251-6121

700 E Center St
Douglas, WY 82633
Phone (307) 352-8946

2901 Powder Basin Ave
Gillette, WY 82718
Phone (307) 358-6200

Interoperability endpoints

  • Direct secure messaging: sgebhart42296@direct.crmcwy.org
  • Direct secure messaging: sgebhart@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1164865796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826330688",
            "telephone_number": "307-358-6200",
            "fax_number": "314-747-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 POWDER BASIN AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186406",
            "telephone_number": "307-682-6222",
            "fax_number": "307-682-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826332054",
            "country_code": "US",
            "telephone_number": "307-358-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBHART",
        "first_name": "SANDRA",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2018013765",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "WY",
            "license": "12214A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.