Active NPI
Adam W Childers, MD
- Family Medicine Physician
- Powell, WY
National Provider Identifier
1861590986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11686
- Practice address
- 777 Avenue H
Powell, WY 82435 - Phone
- (307) 754-3313
- Fax
- (307) 754-7448
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 924 | SC | |
| Family Medicine Physician | 207Q00000X | 11686 | MT | Primary |
Addresses
Primary practice location
777 Avenue H
Powell, WY 82435
Mailing address
777 Avenue H
Powell, WY 82435
Phone (307) 754-3313
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150203001423 | WY | Practitioner - Family Practice | 7315956455 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powell Valley Healthcare Inc
Practice addresses (Care Compare)
450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257
Hospital & facility affiliations
- Powell Valley Hospital
- Billings Clinic Hospital
- Powell Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.54 of 100
- Quality
- 71.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11686 | MT | MD | Family Medicine Physician |
| 924 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powell Valley Health Care Inc | Current | Accepting new patients | |
| Powell Valley Healthcare Inc | Family Medicine | Current | Accepting new patients |
Locations
450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267
777 Avenue H
Powell, WY 82435
Phone (307) 754-1175
Interoperability endpoints
- achilders1@powellvalleyhealthcare.cernerdirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Powell, WY
- NPI 1699721316
Family Medicine, WY
-
- Medicare Defined Swing Bed Hospital Unit
- Powell, WY
- NPI 1780745885
-
- Nursing Facility/Intermediate Care Facility
- Powell, WY
- NPI 1932260049
-
- Institutional Pharmacy
- Powell, WY
- NPI 1104965003
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Powell, WY
- NPI 1780745885
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1861590986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "82435",
"telephone_number": "307-754-3313",
"fax_number": "307-754-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "82435",
"telephone_number": "307-754-3313",
"fax_number": "307-754-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "ADAM",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "924",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "11686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.