1. Home
  2. Directory
  3. Wyoming
  4. Casper
  5. Family Medicine
  6. NPI Profile

TIFFANY JANAE SPAULDING D.O.
NPI 1679704753
Family Medicine in Casper, WY

Active since August 06, 2009PECOS Enrolled
1522 E A ST, CASPER, WY 82601(307) 233-6000(307) 265-0841 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany Janae Spaulding D.o. NPPES

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

TIFFANY JANAE SPAULDING D.O. (NPI 1679704753) is an individual family medicine provider in Casper, Wyoming, licensed in Wyoming (TL#1206) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679704753
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIFFANY JANAE SPAULDINGCredential: D.O.
Location Address1522 E A STCasper, WY 82601-2217
Mailing Address1522 E A StCasper, WY 82601-2217 · (307) 233-6000 · Fax (307) 265-0841
Phone(307) 233-6000
Fax(307) 265-0841
Sole ProprietorYes
Enumeration DateAugust 6, 2009
✔ NPI 1679704753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WY · TL#1206
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1522 E A ST, Casper, WY 82601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Janae Spaulding D.o. 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.

Areas of Expertise CMS Part B claims

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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82601 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
$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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
27%807 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%115 patients1/55-star benchmark: 96%
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…
55%224 patients3/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
1%583 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims37 services$6.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$16.48 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
2 suppliers60 claims60 services$85.83 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 20

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

BARBARA R SOVINE R.N.
Registered Nurse
1522 E A ST
CASPER, WY 82601
Natrona County (307) 233-6000
ERIN ELIZABETH BERTSCH PHARMD
Pharmacist
1522 E A ST
CASPER, WY 82601
Natrona County (307) 234-6161
WILLIAM BURLAND MAURER LCSW
Social Worker (Clinical)
1522 E A ST
CASPER, WY 82601
Natrona County (307) 233-6000
UNIVERSITY OF WYOMING
Pharmacy (Community/Retail Pharmacy)
1522 E A ST
CASPER, WY 82601
Natrona County (307) 265-4446
MARY ANN LEMBKE R.N.
Registered Nurse (Women's Health Care, Ambulatory)
1522 E A ST
CASPER, WY 82601
Natrona County (307) 233-6000
ZACHORY FRED DEISS MD
Family Medicine
1522 E A ST
CASPER, WY 82601
Natrona County (307) 234-6161
PHILIP GARD DO
Family Medicine
1522 E A ST
CASPER, WY 82601
Natrona County (307) 234-6161
DR. SHELBIE MADISON SCHARF MD
Family Medicine
1522 E A ST
CASPER, WY 82601
Natrona County (307) 234-6161

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 Tiffany Spaulding's NPI number?

The NPI number for Tiffany Spaulding is 1679704753. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Tiffany Spaulding located?

Tiffany Spaulding practices at 1522 E A St, Casper, WY 82601. The listed phone number is (307) 233-6000.

What is Tiffany Spaulding's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tiffany Spaulding enrolled in Medicare?

Yes. Tiffany Spaulding is registered in the Medicare PECOS enrollment system.

What insurance does Tiffany Spaulding accept?

Health plans from Moda Health Plan, Inc. list Tiffany Spaulding 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.

When was this NPI record last updated?

The NPPES record for Tiffany Spaulding was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.