PAUL D DEARING MD
NPI 1497789093
Surgery in Gillette, WY

NPI Status: Active since July 10, 2006

Contact Information

501 S BURMA AVE
2ND FLOOR
GILLETTE, WY
ZIP 82716
Phone: (307) 687-0030
Fax: (307) 687-0044

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  • Individual
  • Male
  • Years of Experience 41
  • Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PAUL DEARING

This page provides the complete NPI Profile along with additional information for Paul Dearing, a provider established in Gillette, Wyoming with a medical specialization in Surgery and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1497789093 assigned on July 2006. The practitioner's primary taxonomy code is 208600000X with license number 6966A (WY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1497789093
Provider Name
PAUL D DEARING MD
Gender
Male
Entity Type
Individual
Location Address
501 S BURMA AVE 2ND FLOOR GILLETTE, WY 82716
Location Phone
(307) 687-0030
Location Fax
(307) 687-0044
Mailing Address
PO BOX 3799 GILLETTE, WY 82717
Mailing Phone
(307) 687-0030
Mailing Fax
(307) 687-0044
Medical School Name
OTHER
Graduation Year
1985
Is Sole Proprietor?
Yes
Enumeration Date
07-10-2006
Last Update Date
10-10-2007
Code Navigator

A surgeon like Paul Dearing treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
6966A
License State
WY
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 $9200 Deductible - PPO
  • BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
313290OTHER (01)WYBLUE CROSS BLUE SHIELD WY
E69396MEDICARE UPIN (02) 
W20120MEDICARE ID-TYPE UNSPECIFIED (04)WY 

Medicare Participation & PECOS Enrollment Status

Paul Dearing is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Paul Dearing is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012968571

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20221104000746

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.78 for a new patient copayment and $17.58 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 82716 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.12
  • Minimum New Patient Price $56.42
  • Maximum New Patient Price $170.72
  • Average New Patient Copayment $21.78
  • Minimum New Patient Copayment $14.1
  • Maximum New Patient Copayment $42.68

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.32
  • Minimum Established Patient Price $18.19
  • Maximum Established Patient Price $139.32
  • Average Established Patient Copayment $17.58
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paul Dearing is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC709 4TH AVE NE
WATFORD CITY, ND 58854
(701) 842-3000Critical Access Hospitals

Reviews for PAUL D DEARING MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497789093
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418714818018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 8 + 1 + 8 + 0 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1497789093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ALAN L MITCHELL MD

Radiology

(Diagnostic Radiology)

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1600

JAMES R. LAMANNA M.D.

Radiology

(Diagnostic Radiology)

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1600

DARLENE K BROWN DO

Anesthesiology

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1824

WILLIAM B WOODWARD JR. M.D.

Pathology

(Anatomic Pathology)

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1244

THEODORE LAWSON M.D.

Emergency Medicine

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1415

PHILIP MCMAHILL M.D.

Internal Medicine

(Hematology & Oncology)

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-6230

MICHAEL STOLPE D.O.

Emergency Medicine

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1415

GILLETTE MEDICAL IMAGING P.C.

Radiology

(Diagnostic Radiology)

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 682-3078

DR. ERIK P. JOHNSRUD M.D.

Anesthesiology

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1524

DR. WILLIAM J. FORMAN M.D.

Anesthesiology

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1524

CAMP COUNTY MEM HOSPITAL - PHYSICIAN GROUP

Emergency Medicine

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1415

MS. JUDETH PETERSEN M.A., LPC

Counselor

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-5000

MR. DALE F OEDEKOVEN M.A.

Counselor

(Professional)

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-5000

NORTHEAST WYOMING PATHOLOGY, P.C.

Pathology

(Anatomic Pathology & Clinical Pathology)

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(817) 731-7771

SHAWN RAGON SLP

Rehabilitation Practitioner

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-1501

COMMUNITY MENTAL HEALTH SERVICES

Community/Behavioral Health

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-5014

CAMPBELL COUNTY HOSPITAL DISTRICT,

Otolaryngology

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-3636

MRS. STARLA F CHORD

Social Worker

501 S BURMA AVE
CCMH 5TH FLOOR
GILLETTE, WY
ZIP 82716

(307) 660-7297

AMY HIMES LMFT

Marriage & Family Therapist

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-8051

SUSY KRAFT PCSW

Social Worker

501 S BURMA AVE
GILLETTE, WY
ZIP 82716

(307) 688-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497789093, enumerated as an "individual" on July 10, 2006.

The provider is located at 501 S BURMA AVE 2ND FLOOR GILLETTE, WY 82716 and the phone number is (307) 687-0030.

Surgery with taxonomy code 208600000X.

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

Paul Dearing is affiliated with: MCKENZIE COUNTY HEALTHCARE SYSTEMS INC.