Individual provider Active NPI

Kris Allen Canfield, MD

  • Surgery Physician
  • Gillette, WY
National Provider Identifier
1366441131
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8398A Issued in WY
Practice address
407 S Medical Arts CT Ste B
Gillette, WY 82716-3372
Phone
(307) 682-7500
Fax
(307) 682-7585
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-32083 KS
Surgery Physician 208600000X 8398A WY Primary

Addresses

Primary practice location

407 S Medical Arts CT Ste B
Gillette, WY 82716-3372

Mailing address

PO Box 967
Gillette, WY 82717-0967
Phone (307) 682-7500

Other identifiers 1

IdentifierTypeStateIssuer
200410000AMedicaidKS

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
I20101012000317 WY Practitioner - General Surgery 9234110370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 S Douglas Hwy B5
Gillette, WY 82716-4984

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Weston County Health Services Hospital, Newcastle, WY, CCN 531303

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy90
Hernia repair (minimally invasive)11
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux79
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-32083KSMDSurgery Physician
8398AWYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kris Canfield, MD, PC CurrentSince Jun 29, 2010 Accepting new patients
Springer Clinic Inc Past Accepting new patients

Locations

407 S Medical Arts Ct
Ste B
Gillette, WY 82716
Phone (307) 682-7500

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: kris.canfield@kcm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABIJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABIJAA/Endpoint/ABIJAA

Organizations & group practices 2

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 3

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1366441131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827170967",
            "telephone_number": "307-682-7500",
            "fax_number": "307-682-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MEDICAL ARTS CT STE B",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163372",
            "telephone_number": "307-682-7500",
            "fax_number": "307-682-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "KRIS",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-32083",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "8398A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200410000A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.