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

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: August 02, 2026.

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

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 St Johns Medical Center, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare

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

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
Quality100
Improvement Activities0
Cost100

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.

Nurse Anesthetist, Certified Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Anesthetist, Certified Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Registered Nurse (Lactation Consultant)
625 E BROADWAY AVE
JACKSON, WY 83001
Emergency Medicine
625 E BROADWAY AVE
JACKSON, WY 83001
Rehabilitation Practitioner
625 E BROADWAY AVE
JACKSON, WY 83001
Specialist/Technologist, Other
625 E BROADWAY AVE
JACKSON, WY 83001
Dietitian, Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Physical Therapist
625 E BROADWAY AVE
JACKSON, WY 83001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Edward Callaghan located?

Edward Callaghan practices at 625 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-6418.

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.

Is Edward Callaghan enrolled in Medicare?

Yes. Edward Callaghan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Callaghan accept?

Health plans from Blue Cross Blue Shield of Wyoming list Edward Callaghan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Callaghan affiliated with any hospitals?

According to CMS data, Edward Callaghan is affiliated with St Johns Medical Center.

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.