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SAMUEL DAVID CROSS MD
NPI 1396305207
Family Medicine in Ethete, WY

Active since June 13, 2019PECOS Enrolled
707 BLUE SKY HWY, ETHETE, WY 82520(307) 856-9281 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2022, Jun 13, 2019 (2 updates tracked since 2019).

About Samuel David Cross Md NPPES

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

SAMUEL DAVID CROSS MD (NPI 1396305207) is an individual family medicine provider in Ethete, Wyoming, licensed in Wyoming (14953A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396305207
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL DAVID CROSSCredential: MD
Location Address707 BLUE SKY HWYEthete, WY 82520
Mailing Address363 Sweetwater St Fl 2Lander, WY 82520-3347 · (480) 221-5408
Phone(307) 856-9281
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1396305207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WY · 14953A
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.

707 BLUE SKY HWY, Ethete, WY 82520
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15475 Penn AvePittsburgh, PA 15206-3453 · Phone (412) 361-7562
Location 2815 Freeport RdPittsburgh, PA 15215-3301 · Phone (412) 784-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel David Cross Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921333857
PECOS Enrollment IDI20221004000756
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 8

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 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.
138 services42 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.
72 services11 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
53 services25 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
51 services25 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.
33 services25 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services18 patients

Hospital Affiliations CMS Care Compare

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

Sagewest Health Care

Acute Care Hospitals · Riverton, WY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number530008
Location2100 W Sunset DrRiverton, WY 82501 · Fremont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82520 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.

Other Providers at the Same Location NPPES

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

WIND RIVER FAMILY AND COMMUNITY HEALTH CARE
Clinic/Center (Public Health, Federal)
707 BLUE SKY HWY
ETHETE, WY 82520
Fremont County (307) 335-4698

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 Samuel Cross's NPI number?

The NPI number for Samuel Cross is 1396305207. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Samuel Cross located?

Samuel Cross practices at 707 Blue Sky Hwy, Ethete, WY 82520. The listed phone number is (307) 856-9281.

What is Samuel Cross's specialty?

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

Is Samuel Cross enrolled in Medicare?

Yes. Samuel Cross is registered in the Medicare PECOS enrollment system.

Is Samuel Cross affiliated with any hospitals?

According to CMS data, Samuel Cross is affiliated with Sagewest Health Care.

When was this NPI record last updated?

The NPPES record for Samuel Cross was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.