STANFORD T ISRAELSEN MD
NPI 1093961179
Orthopaedic Surgery in Gillette, WY

Q: What is Stanford Israelsen's NPI number?

The NPI number for Stanford Israelsen is 1093961179. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Q: What is Stanford Israelsen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since August 08, 2008PECOS EnrolledAccepts Medicare Assignment

85.01/100

CMS Quality Rating

508 STOCKTRAIL AVE, SUITE A, GILLETTE, WY 82716(307) 686-1413 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stanford T Israelsen Md NPPES

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

STANFORD T ISRAELSEN MD (NPI 1093961179) is an individual orthopaedic surgery provider in Gillette, Wyoming, licensed in Wyoming (9750A) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Campbell County Health, and is a graduate of Baylor College Of Medicine (2008).

NPPES Registry Identity

NPI1093961179

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameSTANFORD T ISRAELSENCredential: MD

Location Address508 STOCKTRAIL AVE, SUITE AGillette, WY 82716-3582

Mailing Address508 Stocktrail Ave, Suite AGillette, WY 82716-3582 · (307) 686-1413

Phone(307) 686-1413

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2008

Enumeration DateAugust 8, 2008

Last NPPES UpdateAugust 13, 2014

✔ NPI 1093961179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WY · 9750A

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

508 STOCKTRAIL AVE, Gillette, WY 82716

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Accepted Insurance

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

Stanford T Israelsen Md 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 ID1153560610

PECOS Enrollment IDI20140917001937

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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

904 services89 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

369 services242 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

146 services116 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

118 services95 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

68 services68 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

67 services63 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

53 services52 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

42 services42 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

30 services29 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services26 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

23 services16 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Campbell County Health

Acute Care Hospitals · Gillette, WY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number530002

Location501 South Burma AvenueGillette, WY 82716 · Campbell County

Emergency services

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number530006

Location1401 W 5th StSheridan, WY 82801 · Sheridan County

Emergency services

Weston County Health Services

Critical Access Hospitals · Newcastle, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531303

Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82716 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

Most-billed visit code 99213

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.

85.01/100

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

Individually scored

Quality

60.37

Promoting Interoperability

100

Improvement Activities

Cost

89.66

Reported Quality Measures

Advance Care Plan

100%428 patients5/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

76%37 patients3/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

29%1,552 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%349 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

53%227 patients3/55-star benchmark: 98%

Tobacco Use and Help with Quitting Among Adolescents

94%50 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

JORDYN RILEY WALTER PA-C

Physician Assistant

508 STOCKTRAIL AVE
GILLETTE, WY 82716

Campbell County (307) 686-1413

BONE & JOINT RADIOLOGY, LLC

Clinic/Center (Magnetic Resonance Imaging (MRI))

508 STOCKTRAIL AVE, SUITE A
GILLETTE, WY 82716

Campbell County (307) 686-1413

ANGIE KATHLEEN LAAKSO

Occupational Therapist

508 STOCKTRAIL AVE
GILLETTE, WY 82716

Campbell County (307) 688-8000

DR. GERALD L BAKER MD

Orthopaedic Surgery

508 STOCKTRAIL AVE, STE A
GILLETTE, WY 82716

Campbell County (307) 686-1413

POWDER RIVER ORTHOPEDICS & SPINE PC

Orthopaedic Surgery

508 STOCKTRAIL AVE, STE A
GILLETTE, WY 82716

Campbell County (307) 686-1413

DYLAN LINDSAY PA-C

Physician Assistant

508 STOCKTRAIL AVE
GILLETTE, WY 82716

Campbell County (307) 686-1413

BRITTNEY C BARELMAN OTR

Occupational Therapist

508 STOCKTRAIL AVE
GILLETTE, WY 82716

Campbell County (307) 688-8000

DR. JOHN P DUNN MD

Orthopaedic Surgery

508 STOCKTRAIL AVE, SUITE A
GILLETTE, WY 82716

Campbell County (307) 686-1413

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 Stanford Israelsen's NPI number?

The NPI number for Stanford Israelsen is 1093961179. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Stanford Israelsen located?

Stanford Israelsen practices at 508 Stocktrail Ave Suite A, Gillette, WY 82716. The listed phone number is (307) 686-1413.

What is Stanford Israelsen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stanford Israelsen enrolled in Medicare?

Yes. Stanford Israelsen 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 Stanford Israelsen accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Stanford Israelsen 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 Stanford Israelsen affiliated with any hospitals?

According to CMS data, Stanford Israelsen is affiliated with Campbell County Health, Sheridan Memorial Hospital and Weston County Health Services.

When was this NPI record last updated?

The NPPES record for Stanford Israelsen was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.