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DR. ELISE SYLAR M.D.
NPI 1568994176
Internal Medicine in Sheridan, WY

Active since April 02, 2017PECOS EnrolledAccepts Medicare Assignment
80.86/100
CMS Quality Rating
1333 W 5TH ST STE 112, SHERIDAN, WY 82801(307) 675-2650(307) 675-2651 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2021, Aug 19, 2020, Jan 3, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Elise Sylar M.d. NPPES

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

DR. ELISE SYLAR M.D. (NPI 1568994176) is an individual internal medicine provider in Sheridan, Wyoming, licensed in Wyoming (12817A) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568994176
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ELISE SYLARCredential: M.D.
Location Address1333 W 5TH ST STE 112Sheridan, WY 82801-2752
Mailing Address1333 W 5th St Ste 110Sheridan, WY 82801-2752 · (307) 675-2650 · Fax (307) 675-2651
Phone(307) 675-2650
Fax(307) 675-2651
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2017
Last NPPES UpdateMay 11, 20214 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1568994176 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 · 12817A
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.
1333 W 5TH ST STE 112, Sheridan, WY 82801
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Accepted Insurance

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

Dr. Elise Sylar M.d. 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 ID3375968522
PECOS Enrollment IDI20200804003742
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

2

Medicare enrollment records show Elise Sylar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hospital Of Sheridan County
Same address
General Acute Care Hospital
1401 W 5TH ST
Sheridan, WY 82801
  • Reassigned Medicare billing, Wyoming enrollment
  • 133 clinicians in this Medicare group
NPI 1487707188 (307) 672-1000
Big Horn Health Network
0.1 mi
Internal Medicine
1333 W 5TH ST
Sheridan, WY 82801
  • Reassigned Medicare billing, Wyoming enrollment
  • 121 clinicians in this Medicare group
NPI 1861722688 (307) 675-2650

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
244 services130 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
120 services117 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
97 services94 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
94 services63 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
58 services58 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone 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

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82801 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.

80.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.83
Promoting Interoperability98
Improvement Activities40
Cost68.06

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers59 claims59 services$19.88 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier15 claims15 services$921.35 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier21 claims21 services$49.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers81 claims81 services$108.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLISON DAWSON MD
Internal Medicine (Hospice and Palliative Medicine)
1333 W 5TH ST STE 112
SHERIDAN, WY 82801
Sheridan County (307) 675-2650
AUTUMN P. BARRETT PAC
Physician Assistant (Medical)
1333 W 5TH ST STE 112
SHERIDAN, WY 82801
Sheridan County (307) 675-2650
MRS. ERIN SCHERRY STRAHAN PA-C
Physician Assistant
1333 W 5TH ST STE 112
SHERIDAN, WY 82801
Sheridan County (307) 672-2522
SARAH ANN SOMMERS RD, LD
Dietitian, Registered
1333 W 5TH ST STE 112
SHERIDAN, WY 82801
Sheridan County (370) 675-2640
DR. LAURA M. FERRIES MD
Internal Medicine
1333 W 5TH ST STE 112
SHERIDAN, WY 82801
Sheridan County (307) 675-2650

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 Elise Sylar's NPI number?

The NPI number for Elise Sylar is 1568994176. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Elise Sylar located?

Elise Sylar practices at 1333 W 5th St Ste 112, Sheridan, WY 82801. The listed phone number is (307) 675-2650.

What is Elise Sylar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elise Sylar enrolled in Medicare?

Yes. Elise Sylar 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 Elise Sylar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Sylar reassigns Medicare benefits to 2 organizations: Memorial Hospital Of Sheridan County (Sheridan, WY) and Big Horn Health Network (Sheridan, WY). 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 Elise Sylar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Sylar accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Elise Sylar 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 Elise Sylar affiliated with any hospitals?

According to CMS data, Elise Sylar is affiliated with Billings Clinic, Campbell County Health and Sheridan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Elise Sylar was last updated on May 11, 2021. 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.