Individual provider Active NPI

Matthew Eugene Mitchell

  • Orthopaedic Surgery Physician
  • Casper, WY
National Provider Identifier
1386695310
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
7678A Issued in WY
Practice address
4140 Centennial Hills Blvd
Ste a
Casper, WY 82609
Phone
(307) 265-7205
Fax
(307) 235-6262
NPI assigned
May 15, 2006
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 7678A WY Primary

Addresses

Primary practice location

4140 Centennial Hills Blvd
Ste a
Casper, WY 82609

Mailing address

4140 Centennial Hills Blvd
Ste a
Casper, WY 82609-3265
Phone (307) 265-7205

Other practice location 1

1001 W Main St
Riverton, WY 82501-3230
Phone (307) 265-7205

Other identifiers 2

IdentifierTypeStateIssuer
315174OtherWYBCBS OF WY
P00412108OtherWYRAILROAD MEDICARE PTAN

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
I20070719000477 WY Practitioner - Orthopedic Surgery 5496856528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians
Fremont Orthopaedics PCGroup PAC ID 9234389644, 5 clinicians

Practice addresses (Care Compare)

1541 Diamond Dr
Casper, WY 82601-6247
Phone (307) 358-2122

815 E Main St
Lander, WY 82520-3491
Phone (307) 332-9720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7678AWYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Orthopaedics PC Orthopaedic Surgery CurrentSince Feb 1, 2024 Accepting new patients
Summit Memorial Medical Group LLC CurrentSince Dec 15, 2025 Accepting new patients
Casper Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Jul 13, 2007 Accepting new patients
Casper Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Jul 13, 2007 Accepting new patients

Locations

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

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

222 S 5th St
Douglas, WY 82633
Phone (307) 286-6738

535 E Main St
Ste C
Lander, WY 82520
Phone (307) 206-1303

815 E Main St
Lander, WY 82520
Phone (307) 332-9720

1001 W Main St
Riverton, WY 82501
Phone (307) 856-6530

1223 E Park Ave
Riverton, WY 82501
Phone (307) 332-9720

Interoperability endpoints

  • Direct secure messaging: matthew.mitchell@direct.wyomingmedicalcenter.org
  • Direct secure messaging: matthewmitchell@casperorth.allscriptsdirect.net
  • Direct secure messaging: mmitchell1@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1386695310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD",
            "address_2": "STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD",
            "address_2": "STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82609",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Main St",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WY",
            "postal_code": "825013230",
            "country_code": "US",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MATTHEW",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WY",
            "license": "7678A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WY",
            "identifier": "315174",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00412108",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.