NPIMap

Individual provider Active NPI

Glen Jeffrey Poffenbarger, MD

  • Neurological Surgery Physician
  • Cody, WY
National Provider Identifier
1669469227
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
9823A Issued in WY
Practice address
3030 Big Horn Ave
Cody, WY 82414-9208
Phone
(307) 578-1955
Fax
(307) 578-1996
NPI assigned
Sep 29, 2005
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 9823A WY Primary
Neurological Surgery Physician 207T00000X 0101238532 VA

Addresses

Primary practice location

3030 Big Horn Ave
Cody, WY 82414-9208

Mailing address

3030 Big Horn Ave
Cody, WY 82414-9208
Phone (307) 578-1955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141113000643 WY Practitioner - Neurosurgery 1658398219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Horn Basin Bone and Joint, LLCGroup PAC ID 9537266119, 2 clinicians

Practice addresses (Care Compare)

3030 Big Horn Ave
Cody, WY 82414-9208
Phone (307) 578-1955

400 S 15TH St
Worland, WY 82401-3531
Phone (307) 347-3221

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

720 Lindsay LN
Suite C
Cody, WY 82414-4143
Phone (307) 578-1955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
72.82
Promoting interoperability
100
Improvement activities
40
Cost
63.14

Merit-based Incentive Payment System (MIPS)

Final score
90.73 of 100Reported as individual
Quality
81.5
Promoting interoperability
100
Improvement activities
40
Cost
87.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion247
Laminectomy or laminotomy (partial removal of spine bones)55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Big Horn Basin Bone & Joint, LLC Neurological Surgery CurrentSince Jul 15, 2014 Accepting new patients
Cody Regional Health EMS CurrentSince Jun 30, 2018 Accepting new patients
West Park Hospital District CurrentSince Jun 30, 2018 Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
Rappahannock Neurosurgery Associates, LLC Neurological Surgery PastSince Jun 22, 2005 Accepting new patients

Locations

1728 8th St
Cody, WY 82414
Phone (307) 578-1955

3030 Big Horn Ave
Cody, WY 82414
Phone (307) 578-1955

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

720 Lindsay Ln
Ste C
Cody, WY 82414
Phone (307) 578-1955

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

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

Interoperability endpoints

  • Direct secure messaging: glen.poffenbarger.1@10620.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10620/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1669469227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149208",
            "telephone_number": "307-578-1955",
            "fax_number": "307-578-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149208",
            "telephone_number": "307-578-1955",
            "fax_number": "307-578-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFFENBARGER",
        "first_name": "GLEN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WY",
            "license": "9823A",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101238532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.