DR. EDWARD CALLAGHAN M.D.
NPI 1013969211
Pathology - Anatomic Pathology & Clinical Pathology in Jackson, WY

Q: What is Edward Callaghan's NPI number?

The NPI number for Edward Callaghan is 1013969211. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Edward Callaghan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Edward Callaghan was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment

70/100

CMS Quality Rating

625 E BROADWAY AVE, JACKSON, WY 83001(307) 733-6418 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2021, Mar 25, 2016, Mar 18, 2016 (3 updates tracked since 2016).

On this page

About Dr. Edward Callaghan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD CALLAGHAN M.D. (NPI 1013969211) is an individual anatomic pathology & clinical pathology provider in Jackson, Wyoming, licensed in Wyoming (11692A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and maintains a secondary practice location in Cedar Rapids.

NPPES Registry Identity

NPI1013969211

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. EDWARD CALLAGHANCredential: M.D.

Location Address625 E BROADWAY AVEJackson, WY 83001-8642

Mailing Address1911 1st Ave SeCedar Rapids, IA 52402-5320 · (319) 366-1503 · Fax (319) 366-6976

Phone(307) 733-6418

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1993

Enumeration DateMay 16, 2006

Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2021

✔ NPI 1013969211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in WY · 11692A✔ Licensed in MT · 8556

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

625 E BROADWAY AVE, Jackson, WY 83001

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Secondary Practice Location 1

Location 11911 1ST AVE SECEDAR RAPIDS, IA 52402-5320 · Phone (319) 366-1503 · Fax (319) 366-6976

Other Identifiers 1

Medicaid0000013515MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Callaghan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325933120

PECOS Enrollment IDI20181023001537

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Edward Callaghan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Teton Pathology, PC

Same address

Clinical Medical Laboratory

625 E BROADWAY AVE
Jackson, WY 83001

Reassigned Medicare billing, Wyoming enrollment
2 clinicians in this Medicare group

NPI 1780027953 (307) 733-3636

Memorial Hospital Of Sweetwater County

152 mi

Internal Medicine

1180 COLLEGE DRIVE
Rock Springs, WY 82901

Reassigned Medicare billing, Wyoming enrollment
176 clinicians in this Medicare group

NPI 1437312436 (307) 352-8125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,614 services728 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

266 services197 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

206 services51 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

172 services32 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

128 services55 patients

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177

A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.

127 services37 patients

Microscopic genetic analysis of tumor, using computer-assisted technology 88361

Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.

123 services28 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

118 services95 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

83 services74 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

60 services49 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

53 services44 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

51 services40 patients

Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374

This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.

31 services26 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

30 services30 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

27 services18 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

24 services22 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

24 services19 patients

Preparation of tissue for examination by removing any calcium present 88311

19 services18 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

16 services16 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

16 services13 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

14 services13 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

14 services13 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

14 services14 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

12 services12 patients

Cell examination of specimen, concentration technique 88108

12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sagewest Health Care

Acute Care Hospitals · Riverton, WY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number530008

Location2100 W Sunset DrRiverton, WY 82501 · Fremont County

Emergency services

St Johns Medical Center

Acute Care Hospitals · Jackson, WY

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number530015

Location625 East BroadwayJackson, WY 83001 · Teton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$129.37 typical visit price

range $56.42 – $170.72

Typical copayment $32.34 (range $14.10 – $42.68)

Most-billed visit code 99204

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWN BRICE WRIGHT CRNA

Nurse Anesthetist, Certified Registered