TERRY ROBERT DONALDSON MD
NPI 1417903709
Internal Medicine in Rock Springs, WY
About Terry Robert Donaldson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY ROBERT DONALDSON MD (NPI 1417903709) is an individual internal medicine provider in Rock Springs, Wyoming, licensed in Wyoming (5702A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and is a graduate of Creighton University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Terry Robert Donaldson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Terry Donaldson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rock Springs, WY 82901
- Reassigned Medicare billing, Wyoming enrollment
- 176 clinicians in this Medicare group
Casper, WY 82601
- Reassigned Medicare billing, Wyoming enrollment
- 108 clinicians in this Medicare group
Nashville, TN 37205
- Reassigned Medicare billing, Tennessee enrollment
- 1,304 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sagewest Health Care
Acute Care Hospitals · Riverton, WYWyoming Medical Center
Acute Care Hospitals · Casper, WYNiobrara County Hospital District
Critical Access Hospitals · Lusk, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 16
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCK SPRINGS, WY 82901
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 Terry Donaldson's NPI number?
The NPI number for Terry Donaldson is 1417903709. It was assigned to this individual provider in the NPPES registry on May 26, 2006.
Where is Terry Donaldson located?
Terry Donaldson practices at 1577 Dewar Dr Ste 8, Rock Springs, WY 82901. The listed phone number is (307) 389-5888.
What is Terry Donaldson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Terry Donaldson enrolled in Medicare?
Yes. Terry Donaldson 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.
Which organizations bill Medicare for Terry Donaldson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Donaldson reassigns Medicare benefits to 3 organizations: Memorial Hospital Of Sweetwater County (Rock Springs, WY), Sound Physicians Of Wyoming, LLC (Casper, WY) and Saint Thomas Medical Partners (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terry Donaldson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Donaldson accept?
Health plans from Blue Cross Blue Shield of Wyoming, Oscar Insurance Company and University of Utah Health Plans list Terry Donaldson 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 Terry Donaldson affiliated with any hospitals?
According to CMS data, Terry Donaldson is affiliated with Sagewest Health Care, Wyoming Medical Center and Niobrara County Hospital District.
When was this NPI record last updated?
The NPPES record for Terry Donaldson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Terry Robert Donaldson, MD · NPI 1417903709
Internal Medicine physician in Rock Springs, Wyoming. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1417903709 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5702A (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 1577 DEWAR DR STE 8, Rock Springs, WY 82901-5716
- **Phone:** (307) 389-5888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Memorial Hospital Of Sweetwater County (NPI 1437312436, Rock Springs, WY); Sound Physicians Of Wyoming, LLC (NPI 1982982708, Casper, WY); Saint Thomas Medical Partners (NPI 1881981033, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** September 10, 2024
- **Other identifiers:** Medicaid 110853100 (WY)
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Source: [NPI Profile](https://npiprofile.com/npi/1417903709) · Data from the CMS NPPES public registry.