DR. DONALD ALBERT GULLICKSON M.D.
NPI 1497840110
Internal Medicine in Lander, WY

Active since October 04, 2006PECOS Enrolled
745 BUENA VISTA DR, LANDER, WY 82520(307) 332-2941(307) 332-2068 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Donald Albert Gullickson M.d. NPPES

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

DR. DONALD ALBERT GULLICKSON M.D. (NPI 1497840110) is an individual internal medicine provider in Lander, Wyoming, licensed in Wyoming (2072A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497840110
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DONALD ALBERT GULLICKSONCredential: M.D.
Location Address745 BUENA VISTA DRLander, WY 82520-3431
Mailing Address830 Lincoln StLander, WY 82520-2736 · (307) 332-4420
Fax(307) 332-2068
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 31, 2020
NPI 1497840110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WY · 2072A
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

745 BUENA VISTA DR, Lander, WY 82520

Other Identifiers 3

Other110055880Medicare Railroad Retirem
Other301810WY · Blue Shield
Medicaid102799900WY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Donald Albert Gullickson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82520 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
5%20 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%20 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%20 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
10%20 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
745 BUENA VISTA DR
LANDER, WY 82520
Internal Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Family Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Obstetrics & Gynecology
745 BUENA VISTA DR
LANDER, WY 82520
Physician Assistant
745 BUENA VISTA DR
LANDER, WY 82520
Obstetrics & Gynecology
745 BUENA VISTA DR
LANDER, WY 82520
Physical Therapist
745 BUENA VISTA DR
LANDER, WY 82520
Physical Therapist
745 BUENA VISTA DR
LANDER, WY 82520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497840110, enumerated as an "individual" on October 04, 2006.

The provider is located at 745 BUENA VISTA DR LANDER, WY 82520 and the phone number is (307) 332-2941.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.