MR. BYRON JAMES PETERSON
NPI 1568716280
Nurse Anesthetist, Certified Registered in Gillette, WY

Active since November 02, 2012PECOS EnrolledAccepts Medicare Assignment
501 S BURMA AVE, GILLETTE, WY 82716(307) 688-1000 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2020, Oct 12, 2016 (2 updates tracked since 2016).

About Mr. Byron James Peterson NPPES

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

MR. BYRON JAMES PETERSON (NPI 1568716280) is an individual nurse anesthetist, certified registered in Gillette, Wyoming, licensed in Virginia (0024170570) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Campbell County Health, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1568716280
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BYRON JAMES PETERSON
Location Address501 S BURMA AVEGillette, WY 82716-3426
Mailing Address501 S Burma AveGillette, WY 82716-3426 · (307) 688-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 2, 2012
Last NPPES UpdateDecember 23, 20202 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
✔ NPI 1568716280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in VA · 0024170570
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
501 S BURMA AVE, Gillette, WY 82716

Secondary Practice Location 1

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 371-9239

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Byron James Peterson 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 ID4688807092
PECOS Enrollment IDI20200406000629
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Byron Peterson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
501 S BURMA AVE
Gillette, WY 82716
  • Reassigned Medicare billing, Wyoming enrollment
  • 285 clinicians in this Medicare group
Family Medicine
51 TOWN CENTER DR STE 120
Gillette, WY 82718
  • Reassigned Medicare billing, Wyoming enrollment
  • 15 clinicians in this Medicare group
Anesthesiology
1906 BLAKE AVE
Glenwood Springs, CO 81601
  • Reassigned Medicare billing, Colorado enrollment
  • 32 clinicians in this Medicare group
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, Virginia enrollment
  • 210 clinicians in this Medicare group
Licensed Practical Nurse
401 NORTH MAIN
Kenansville, NC 28349
  • Reassigned Medicare billing, North Carolina enrollment
  • 44 clinicians in this Medicare group
Anesthesiology
2025 GLENN MITCHELL DR
Virginia Beach, VA 23456
  • Reassigned Medicare billing, Virginia enrollment
  • 707 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
43 services40 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
15 services13 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

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
$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
$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.

Nurse Anesthetist, Certified Registered
501 S BURMA AVE
GILLETTE, WY 82716
Internal Medicine (Pulmonary Disease)
501 S BURMA AVE, 3S-PULM
GILLETTE, WY 82716
Internal Medicine (Hematology & Oncology)
501 S BURMA AVE
GILLETTE, WY 82716
Counselor
501 S BURMA AVE
GILLETTE, WY 82716
Nurse Practitioner (Adult Health)
501 S BURMA AVE
GILLETTE, WY 82716
Family Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Emergency Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Social Worker
501 S BURMA AVE
GILLETTE, WY 82716

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 Byron Peterson's NPI number?

The NPI number for Byron Peterson is 1568716280. It was assigned to this individual provider in the NPPES registry on November 2, 2012.

Where is Byron Peterson located?

Byron Peterson practices at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-1000.

What is Byron Peterson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Byron Peterson enrolled in Medicare?

Yes. Byron Peterson 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.

Which organizations bill Medicare for Byron Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Byron Peterson reassigns Medicare benefits to 6 organizations: Campbell County Hospital District (Gillette, WY), Wyoming Medical Associates, LLC (Gillette, WY), Glenwood Anesthesia Professionals, PC (Glenwood Springs, CO), Medstream Anesthesia PLLC (Richardson, TX), Duplin General Hospital, Incorporated (Kenansville, NC) and 1 more organization, listed in the Medicare section above. Each 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 Byron Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Byron Peterson accept?

Health plans from Blue Cross Blue Shield of Wyoming list Byron Peterson 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 Byron Peterson affiliated with any hospitals?

According to CMS data, Byron Peterson is affiliated with Campbell County Health.

When was this NPI record last updated?

The NPPES record for Byron Peterson was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.