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DAVE R BRUMBAUGH PA-C
NPI 1114907722
Physician Assistant - Surgical in Laramie, WY

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
1909 VISTA DR, LARAMIE, WY 82070(307) 745-8851(307) 742-0961 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dave R Brumbaugh Pa-c NPPES

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

DAVE R BRUMBAUGH PA-C (NPI 1114907722) is an individual surgical provider in Laramie, Wyoming, licensed in Wyoming (388) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1114907722
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDAVE R BRUMBAUGHCredential: PA-C
Location Address1909 VISTA DRLaramie, WY 82070-5530
Mailing Address1909 Vista DrLaramie, WY 82070-5530 · (307) 745-8851 · Fax (307) 742-0961
Phone(307) 745-8851
Fax(307) 742-0961
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114907722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WY · 388
1909 VISTA DR, Laramie, WY 82070
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINS68428WY
Medicaid6826364SD
Medicare ID-Type Unspecified8400SD

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dave R Brumbaugh Pa-c 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 ID2264439165
PECOS Enrollment IDI20061108000171
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 3

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.

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.
17 services17 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.
16 services16 patients
Partial removal of collar bone 23120
Partial removal of the collar bone, also known as a clavicle resection, is a procedure performed to reduce pain and improve range of motion in the shoulder. It involves removing a small portion of the clavicle to alleviate pressure on surrounding structures.
13 services13 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

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.

ERENA HINTSA PA-C
Physician Assistant
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
DR. MARK E. MCKENNA MD
Orthopaedic Surgery
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
JERI BLACK-FARBER PT
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
DR. LAWRENCE A JENKINS MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
LARRY VENGENDEREN MD
Orthopaedic Surgery (Sports Medicine)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
SEAN R ENNIST RNFA
Registered Nurse (Registered Nurse First Assistant)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
MR. GARY RICHARD SNELLER II PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
STEPHANIE ROSTAD RNFA
Registered Nurse (Registered Nurse First Assistant)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851

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 Dave Brumbaugh's NPI number?

The NPI number for Dave Brumbaugh is 1114907722. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Dave Brumbaugh located?

Dave Brumbaugh practices at 1909 Vista Dr, Laramie, WY 82070. The listed phone number is (307) 745-8851.

What is Dave Brumbaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dave Brumbaugh enrolled in Medicare?

Yes. Dave Brumbaugh 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 Dave Brumbaugh accept?

Health plans from Blue Cross Blue Shield of Wyoming list Dave Brumbaugh 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 Dave Brumbaugh affiliated with any hospitals?

According to CMS data, Dave Brumbaugh is affiliated with St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Dave Brumbaugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.