DR. TIMOTHY G BUSSERT MD
NPI 1306333687
Obstetrics & Gynecology in Jackson, WY

Q: What is Timothy Bussert's NPI number?

The NPI number for Timothy Bussert is 1306333687. It was assigned to this individual provider in the NPPES registry on April 22, 2018.

Q: What is Timothy Bussert's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Bussert was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 April 22, 2018PECOS EnrolledAccepts Medicare Assignment

86.69/100

CMS Quality Rating

555 E BROADWAY AVE STE 108, JACKSON, WY 83001(307) 734-1005 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Apr 22, 2018 (2 updates tracked since 2018).

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About Dr. Timothy G Bussert Md NPPES

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

DR. TIMOTHY G BUSSERT MD (NPI 1306333687) is an individual obstetrics & gynecology provider in Jackson, Wyoming, licensed in New York (315831) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306333687

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. TIMOTHY G BUSSERTCredential: MD

Location Address555 E BROADWAY AVE STE 108Jackson, WY 83001-8640

Mailing Address555 E Broadway Ave Ste 108Jackson, WY 83001-8640 · (307) 734-1005

Phone(307) 734-1005

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 22, 2018

Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1306333687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 315831

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

555 E BROADWAY AVE STE 108, Jackson, WY 83001

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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, Medica, 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

Dr. Timothy G Bussert 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 ID7416339486

PECOS Enrollment IDI20250514001066

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.

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

$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.

86.69/100

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

Scored as part of a group practice

Quality

96.59

Promoting Interoperability

100

Improvement Activities

Cost

55.18

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.

SHIRL DOUGLAS GEORGE M.D.

Obstetrics & Gynecology

555 E BROADWAY AVE STE 108
JACKSON, WY 83001

Teton County (307) 734-1313

WOMENS HEALTH & FAMILY CARE, LLC

Obstetrics & Gynecology

555 E BROADWAY AVE STE 108
JACKSON, WY 83001

Teton County (307) 734-1313

GROS VENTRE OB/GYN, LLP

Obstetrics & Gynecology

555 E BROADWAY AVE STE 108
JACKSON, WY 83001

Teton County (307) 734-1005

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 Timothy Bussert's NPI number?

The NPI number for Timothy Bussert is 1306333687. It was assigned to this individual provider in the NPPES registry on April 22, 2018.

Where is Timothy Bussert located?

Timothy Bussert practices at 555 E Broadway Ave Ste 108, Jackson, WY 83001. The listed phone number is (307) 734-1005.

What is Timothy Bussert's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy Bussert enrolled in Medicare?

Yes. Timothy Bussert 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 Timothy Bussert accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Timothy Bussert 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 Timothy Bussert affiliated with any hospitals?

According to CMS data, Timothy Bussert is affiliated with St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Bussert was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.