BRIANNE M CROFTS MD
NPI 1457475451
Surgery in Rock Springs, WY

Active since March 17, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1180 COLLEGE DR, ROCK SPRINGS, WY 82901(307) 352-8192(307) 352-8572 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brianne M Crofts Md NPPES

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

BRIANNE M CROFTS MD (NPI 1457475451) is an individual surgery provider in Rock Springs, Wyoming, licensed in Wyoming (8475A) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2005).

NPPES Registry Identity

NPI1457475451
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBRIANNE M CROFTSCredential: MD
Location Address1180 COLLEGE DRRock Springs, WY 82901-5863
Mailing AddressPo Box 1359Rock Springs, WY 82902-1359 · (307) 352-8192 · Fax (307) 352-8572
Fax(307) 352-8572
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2005
Enumeration DateMarch 17, 2007
Last NPPES UpdateJanuary 21, 2020
NPI 1457475451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WY · 8475A Licensed in UT · 6989425-1205 Licensed in MI · 4301086409
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1180 COLLEGE DR, Rock Springs, WY 82901

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

Brianne M Crofts 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 ID42404246
PECOS Enrollment IDI20101102000219
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 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
69 services36 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
40 services40 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services16 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
25 services25 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
25 services22 patients

Physician 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.

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
$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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$18.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$107.76 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 20

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

Obstetrics & Gynecology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Physician Assistant (Medical)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Family Medicine
1180 COLLEGE DR, SUITE 3-2
ROCK SPRINGS, WY 82901
Otolaryngology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Internal Medicine (Medical Oncology)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Pediatrics
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Orthopaedic Surgery
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Otolaryngology (Otolaryngic Allergy)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457475451, enumerated as an "individual" on March 17, 2007.

The provider is located at 1180 COLLEGE DR ROCK SPRINGS, WY 82901 and the phone number is (307) 352-8192.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming,. Please consult your insurance carrier or call the provider to verify.