DR. JOHN E THURSTON M.D.
NPI 1144296245
Family Medicine in Worland, WY

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
8.45/100
CMS Quality Rating
401 S 15TH ST, WORLAND, WY 82401(307) 347-2525(307) 347-3949 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John E Thurston M.d. NPPES

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

DR. JOHN E THURSTON M.D. (NPI 1144296245) is an individual family medicine provider in Worland, Wyoming, licensed in Wyoming (5442A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1993).

NPPES Registry Identity

NPI1144296245
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN E THURSTONCredential: M.D.
Location Address401 S 15TH STWorland, WY 82401-3530
Mailing Address401 S 15th StWorland, WY 82401-3530 · (307) 347-2525 · Fax (307) 347-3949
Fax(307) 347-3949
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1993
Enumeration DateFebruary 27, 2006
Last NPPES UpdateSeptember 4, 2008
NPI 1144296245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WY · 5442A Licensed in UT · 5008190-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
401 S 15TH ST, Worland, WY 82401

Other Identifiers 10

Other308202WY · Blue Cross Blue Shield
Medicaid109890001WY
Medicaid0031408MT
Medicaid117571800WY
Medicare NSC1250930001WY
Other104247300Us Department Of Labor
Medicare UPING25154
Other830326904Tin Many Plans Use
Medicare ID-Type Unspecified308202WY
Medicare PIN080145484WY

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. John E Thurston 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 ID6002827474
PECOS Enrollment IDI20060616000025
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 53D0917857

John E Thurston MD Thurston Medical Clinic · Worland, WY
Expired · Jul 28, 2026
CLIA Number53D0917857
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorJohn E. Thurston
Laboratory Phone(307) 347-2525
Laboratory LocationJohn E Thurston MD Thurston Medical Clinic401 S 15th St, Worland, WY 82401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 27

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,600 services32 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.
898 services379 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.
670 services319 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
224 services75 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
171 services45 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
159 services87 patients

Hospital Affiliations CMS Care Compare 3

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Hot Springs County Memorial Hospital

Critical Access Hospitals · Thermopolis, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531304
Location150 East ArapahoeThermopolis, WY 82443 · Hot Springs County
Emergency services

Washakie Medical Center

Critical Access Hospitals · Worland, WY
OwnershipGovernment - Local
CMS Certification Number531306
Location400 South 15th StreetWorland, WY 82401 · Washakie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82401 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
$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.

8.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost28.17

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims70 services$6.32 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers13 claims30 services$6.40 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$1.54 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers36 claims36 services$46.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers69 claims69 services$115.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers75 claims142 services$43.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
401 S 15TH ST
WORLAND, WY 82401
Family Medicine
401 S 15TH ST
WORLAND, WY 82401
Durable Medical Equipment & Medical Supplies
401 S 15TH ST
WORLAND, WY 82401

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 John Thurston's NPI number?

The NPI number for John Thurston is 1144296245. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is John Thurston located?

John Thurston practices at 401 S 15th St, Worland, WY 82401. The listed phone number is (307) 347-2525.

What is John Thurston's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Thurston enrolled in Medicare?

Yes. John Thurston 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 John Thurston accept?

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

According to CMS data, John Thurston is affiliated with Billings Clinic, Hot Springs County Memorial Hospital and Washakie Medical Center.

When was this NPI record last updated?

The NPPES record for John Thurston was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.