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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID K. CUSTIS PA-C
NPI 1477516540
Physician Assistant in Gillette, WY

Active since April 10, 2006PECOS Enrolled
501 S BURMA AVE, GILLETTE, WY 82716(307) 688-3636(307) 688-7920 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David K. Custis Pa-c NPPES

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

DAVID K. CUSTIS PA-C (NPI 1477516540) is an individual physician assistant in Gillette, Wyoming, licensed in Wyoming (PA832) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of University Of North Dakota School Of Medicine (1982).

NPPES Registry Identity

NPI1477516540
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID K. CUSTISCredential: PA-C
Location Address501 S BURMA AVEGillette, WY 82716-3426
Mailing AddressPo Box 3011Gillette, WY 82717-3011 · (307) 688-1000
Phone(307) 688-3636
Fax(307) 688-7920
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1982
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1477516540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WY · PA832
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
501 S BURMA AVE, Gillette, WY 82716
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

David K. Custis Pa-c 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 ID6305972571
PECOS Enrollment IDI20190917002845
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 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.
54 services48 patients
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.
35 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
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.
22 services22 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.
16 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82716 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.

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.

DANA G HALBROOKS CRNA
Nurse Anesthetist, Certified Registered
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-1000
CAMPBELL COUNTY HOSPITAL DISTRICT
Internal Medicine (Pulmonary Disease)
501 S BURMA AVE, 3S-PULM
GILLETTE, WY 82716
Campbell County (307) 688-3636
PHILIP MCMAHILL M.D.
Internal Medicine (Hematology & Oncology)
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-6230
MS. JUDETH PETERSEN M.A., LPC
Counselor
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-5000
PATRICIA MCJILTON APRN
Nurse Practitioner (Adult Health)
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-3636
JACOB WILLIAM PARMLEY DO
Family Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-3636
CAMPBELL COUNTY HOSPITAL DISTRICT
Emergency Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-1415
DEREK FRIEDLAN BS
Social Worker
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-5007

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 David Custis's NPI number?

The NPI number for David Custis is 1477516540. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is David Custis located?

David Custis practices at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-3636.

What is David Custis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Custis enrolled in Medicare?

Yes. David Custis 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 David Custis accept?

Health plans from Medica list David Custis 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 David Custis affiliated with any hospitals?

According to CMS data, David Custis is affiliated with Monument Health Rapid City Hospital and Campbell County Health.

When was this NPI record last updated?

The NPPES record for David Custis was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.