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JAMES A. ULIBARRI M.D.
NPI 1578586269
Orthopaedic Surgery in Sheridan, WY

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
1333 W 5TH ST STE 113, SHERIDAN, WY 82801(307) 675-2633(307) 675-2634 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About James A. Ulibarri M.d. NPPES

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

JAMES A. ULIBARRI M.D. (NPI 1578586269) is an individual orthopaedic surgery provider in Sheridan, Wyoming, licensed in Wyoming (8186A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Campbell County Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578586269
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES A. ULIBARRICredential: M.D.
Location Address1333 W 5TH ST STE 113Sheridan, WY 82801-2752
Mailing Address281 N Lyerly St Ste 300Chattanooga, TN 37404-2728 · (423) 693-2175 · Fax (888) 959-1015
Phone(307) 675-2633
Fax(307) 675-2634
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2000
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1578586269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WY · 8186A✔ Licensed in TN · 40941
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 40941 (TN)
1333 W 5TH ST STE 113, Sheridan, WY 82801
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Secondary Practice Locations 2

Location 11050 Mydland RdSheridan, WY 82801-2186 · Phone (307) 674-7469 · Fax (307) 674-4619
Location 2281 N Lyerly St Ste 300Chattanooga, TN 37404-2728 · Phone (423) 693-2175 · Fax (888) 959-1015

Other Identifiers 4

Other7633780TN · Aetna
OtherTN01L4TN · Johndeere Healthcare
OtherP00331256TN · Railroad Medicare
Other4129282TN · Bluecross Blueshield

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

James A. Ulibarri 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 ID4789680539
PECOS Enrollment IDI20090511000435
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

3

Medicare enrollment records show James Ulibarri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Horn Health Network
Same address
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
Sheridan Orthopaedic Associates, P C
0.7 mi
Orthopaedic Surgery
1050 MYDLAND RD
Sheridan, WY 82801
  • Reassigned Medicare billing, Wyoming enrollment
  • 10 clinicians in this Medicare group
NPI 1740200294 (307) 673-1813
Campbell County Hospital District
76 mi
Registered Nurse
501 S BURMA AVE
Gillette, WY 82716
  • Reassigned Medicare billing, Wyoming enrollment
  • 285 clinicians in this Medicare group
NPI 1609318526 (307) 688-3636

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services30 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
22 services14 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

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

Johnson County Healthcare Center

Critical Access Hospitals · Buffalo, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531308
Location497 West LottBuffalo, WY 82834 · Johnson County

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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
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 2

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

SEAN MICHAEL SCHOONOVER P.A.-C
Physician Assistant
1333 W 5TH ST STE 113
SHERIDAN, WY 82801
Sheridan County (307) 675-2633
KATIE MISCHKE PA
Physician Assistant (Surgical)
1333 W 5TH ST STE 113
SHERIDAN, WY 82801
Sheridan County (307) 675-2633

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 James Ulibarri's NPI number?

The NPI number for James Ulibarri is 1578586269. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Ulibarri located?

James Ulibarri practices at 1333 W 5th St Ste 113, Sheridan, WY 82801. The listed phone number is (307) 675-2633.

What is James Ulibarri's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Ulibarri enrolled in Medicare?

Yes. James Ulibarri 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 James Ulibarri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ulibarri reassigns Medicare benefits to 3 organizations: Big Horn Health Network (Sheridan, WY), Sheridan Orthopaedic Associates, P C (Sheridan, WY) and Campbell County Hospital District (Gillette, 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 James Ulibarri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ulibarri accept?

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

According to CMS data, James Ulibarri is affiliated with Campbell County Health, Sheridan Memorial Hospital and Johnson County Healthcare Center.

When was this NPI record last updated?

The NPPES record for James Ulibarri was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.