Individual provider Active NPI

Gregory Seitz

  • Dermatology Physician
  • Cheyenne, WY
National Provider Identifier
1962676353
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
8582A Issued in WY
Practice address
2112 Seymour Ave
Cheyenne, WY 82001
Phone
(307) 635-8299
Fax
(307) 635-6984
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 8582A WY Primary
Internal Medicine Physician 207R00000X LL17128 OR

Addresses

Primary practice location

2112 Seymour Ave
Cheyenne, WY 82001

Mailing address

2112 Seymour Ave
Cheyenne, WY 82001-3830
Phone (307) 635-8299

Other practice location 1

8305 Wellington Blvd Unit 102
Wellington, CO 80549-2399
Phone (970) 222-6794

Other practice location 2

5451 E Harmony Road
Building 2 Unit 109
Timnath, CO 80547
Phone (970) 222-6794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110727000474 WY Practitioner - Dermatology 2466620901 Reassigns benefits to 1 organization
I20240206001290 CO Practitioner - DermatologyPractitioner - Pathology 2466620901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seitz Dermatology PCGroup PAC ID 3274516471, 2 clinicians
Wyco Derm LLCGroup PAC ID 4385087477, 2 clinicians

Practice addresses (Care Compare)

2112 Seymour Ave
Cheyenne, WY 82001-3830
Phone (307) 635-8299

8305 Wellington Blvd
Unit 102
Wellington, CO 80549-2399
Phone (307) 635-8299

Hospital & facility affiliations

  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

Merit-based Incentive Payment System (MIPS)

Final score
97.2 of 100Reported as individual
Quality
93.45
Promoting interoperability
98
Improvement activities
40
Cost
98.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision155
Removal of skin lesions2976
Removal of skin cancer498
Removal of nail tissue1-10
Removal or shaving of skin growth138
Skin biopsy433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL17128ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyco Derm LLC Dermatology CurrentSince Mar 1, 2024 Accepting new patients
Wyco Derm LLC Current Accepting new patients
Seitz Dermatology, PC Dermatology CurrentSince Jul 1, 2011 Accepting new patients

Locations

2112 Seymour Ave
Cheyenne, WY 82001
Phone (307) 635-8299

Interoperability endpoints

  • Direct secure messaging: gseitz@cheyenne.emadirect.md

Organizations & group practices 3

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 1

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1962676353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013830",
            "telephone_number": "307-635-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "307-635-8299",
            "fax_number": "307-635-6984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8305 Wellington Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "CO",
            "postal_code": "805492399",
            "country_code": "US",
            "telephone_number": "970-222-6794",
            "fax_number": "303-676-8143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5451 E Harmony Road",
            "address_2": "Building 2 Unit 109",
            "address_purpose": "LOCATION",
            "city": "Timnath",
            "state": "CO",
            "postal_code": "80547",
            "country_code": "US",
            "telephone_number": "970-222-6794",
            "fax_number": "303-676-8143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WY",
            "license": "8582A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "LL17128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.