BIG HORN PEDIATRICS
NPI 1477660447
Pediatrics in Gillette, WY

Q: What is Big Horn Pediatrics's NPI number?

The NPI number for Big Horn Pediatrics is 1477660447. It was assigned to this organization in the NPPES registry on August 24, 2006.

Q: What is Big Horn Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 24, 2006CLIA Certified · 2 labs

1308 W 4TH ST, GILLETTE, WY 82716(307) 687-1300(307) 682-1309 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2020, Jul 24, 2020, Feb 4, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Big Horn Pediatrics NPPES

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

BIG HORN PEDIATRICS (NPI 1477660447) is a healthcare organization registered as a pediatrics in Gillette, Wyoming and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Buffalo, and lists Ann L Edwards, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477660447

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBIG HORN PEDIATRICS

Location Address1308 W 4TH STGillette, WY 82716-3330

Mailing Address1308 W 4th StGillette, WY 82716-3330 · (307) 687-1300 · Fax (307) 682-1309

Phone(307) 687-1300

Fax(307) 682-1309

Organization SubpartNo

Authorized OfficialAnn L EdwardsOffice Manager · (307) 687-1300

Enumeration DateAugust 24, 2006

Last NPPES UpdateJuly 27, 20204 updates tracked since enumeration

NPPES CertifiedJuly 27, 2020

✔ NPI 1477660447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X

1308 W 4TH ST, Gillette, WY 82716

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Secondary Practice Location 1

Location 1106 West AngusBuffalo, WY 82834 · Phone (307) 620-8845 · Fax (307) 682-1309

Other Identifiers 1

Other830306207WY · Tax I.d.#

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Big Horn Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Big Horn Pediatrics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Aubrey Tabb, MD

Family Practice

NPI 1316925456

497 W LOTT ST
Buffalo, WY 82834

(307) 684-2228

✔ PECOS✔ Accepts Medicare59 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0663229

Big Horn Pediatrics PC · Gillette, WY

Active · expires Feb 16, 2028

CLIA Number53D0663229

Laboratory TypePhysician Office

Certificate Effective DateFebruary 17, 2026

Certificate Expiration DateFebruary 16, 2028

Laboratory DirectorDavid R. Fall

Laboratory Phone(307) 687-1300

Laboratory LocationBig Horn Pediatrics PC1308 West 4th Street, Gillette, WY 82716

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 53D2188511

Big Horn Pediatrics & Family Medicine · Buffalo, WY

Active · expires Dec 11, 2026

CLIA Number53D2188511

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorDavid Fall

Laboratory Phone(307) 620-8845

Laboratory LocationBig Horn Pediatrics & Family Medicine38 North Desmet Ave Suite 1, Buffalo, WY 82834

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Big Horn Pediatrics's NPI number?

The NPI number for Big Horn Pediatrics is 1477660447. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Big Horn Pediatrics located?

Big Horn Pediatrics is located at 1308 W 4th St, Gillette, WY 82716. The listed phone number is (307) 687-1300.

What is Big Horn Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Big Horn Pediatrics enrolled in Medicare?

Yes. Big Horn Pediatrics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Big Horn Pediatrics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Big Horn Pediatrics. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Big Horn Pediatrics hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Big Horn Pediatrics accept?

Health plans from Blue Cross Blue Shield of Wyoming list Big Horn Pediatrics 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 Big Horn Pediatrics was last updated on July 27, 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.