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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: August 09, 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
Phone(307) 352-8192
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
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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, UnitedHealthcare, University of Utah Health Plans.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 11

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
48 services48 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.
36 services36 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 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 with straightforward medical decision making, if using time, 10 minutes or more 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.
25 services19 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.
25 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 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.

DR. TONY G PEDRI MD
Orthopaedic Surgery
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Sweetwater County (307) 212-7770
MELINDA J. POYER D.O.
Family Medicine
1180 COLLEGE DR, SUITE 3-2
ROCK SPRINGS, WY 82901
Sweetwater County (307) 362-0083
KYLE J HOFFMAN MD
Surgery
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Sweetwater County (307) 352-8192
DR. JEFFERY D WHEELER MD
Obstetrics & Gynecology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Sweetwater County (307) 352-8383
DR. DAVID A LIU MD, DDS
Otolaryngology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Sweetwater County (307) 212-7738
PRACHI R PAWAR MD
Psychiatry & Neurology (Neurology)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Sweetwater County (307) 212-7570
EMILY C JAMES APRN-CNP
Nurse Practitioner (Family)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Sweetwater County (307) 352-8383
DR. SIGSBEE W DUCK MD
Otolaryngology (Otolaryngic Allergy)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Sweetwater County (307) 212-7738

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 Brianne Crofts's NPI number?

The NPI number for Brianne Crofts is 1457475451. It was assigned to this individual provider in the NPPES registry on March 17, 2007.

Where is Brianne Crofts located?

Brianne Crofts practices at 1180 College Dr, Rock Springs, WY 82901. The listed phone number is (307) 352-8192.

What is Brianne Crofts's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brianne Crofts enrolled in Medicare?

Yes. Brianne Crofts 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 Brianne Crofts accept?

Health plans from Blue Cross Blue Shield of Wyoming, UnitedHealthcare and University of Utah Health Plans list Brianne Crofts 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.

When was this NPI record last updated?

The NPPES record for Brianne Crofts was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.