PROFESSIONAL PATHOLOGY OF WYOMING
NPI 1801181730
Pathology - Anatomic Pathology & Clinical Pathology in Casper, WY

Active since June 20, 2011
111 SOUTH JEFFERSON STREET, CASPER, WY 82601(307) 337-1670 Get Directions Write a Review

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

About Professional Pathology Of Wyoming NPPES

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

PROFESSIONAL PATHOLOGY OF WYOMING (NPI 1801181730) is a healthcare organization registered as an anatomic pathology & clinical pathology in Casper, Wyoming and active in the NPI registry since June 2011. The organization lists Howard Martin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1801181730
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePROFESSIONAL PATHOLOGY OF WYOMING
Location Address111 SOUTH JEFFERSON STREETCasper, WY 82601
Mailing AddressPo Box 421565Houston, TX 77242-1565 · (307) 577-2198 · Fax (419) 866-5453
Organization SubpartNo
Authorized OfficialHoward MartinAuthorized Official · (877) 697-2447
Enumeration DateJune 20, 2011
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1801181730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
111 SOUTH JEFFERSON STREET, Casper, WY 82601

Other Identifiers 1

Medicaid131615000WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Pathology Of Wyoming is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWyomingEnrollment IDO20110816000873Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Professional Pathology Of Wyoming, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Pathology
NPI 1740220953
2811 S 102ND ST STE 170
Tukwila, WA 98168
(509) 753-7222
✔ PECOS✔ Accepts Medicare842 mi
Pathology
NPI 1689679128
504 MEDICAL CENTER BLVD
Conroe, TX 77304
(713) 481-3544
✔ PECOS✔ Accepts Medicare1,054 mi
Pathology
NPI 1932337631
4131 DIRECTORS ROW
Houston, TX 77092
(877) 697-2447
✔ PECOS✔ Accepts Medicare1,082 mi
Pathology
NPI 1467643643
4131 DIRECTORS ROW
Houston, TX 77092
(877) 697-2447
✔ PECOS✔ Accepts Medicare1,082 mi
Pathology
NPI 1093045247
1 BAYLOR PLZ DEPARTMENT OF PATHOLOGY, M.S. 315
Houston, TX 77030
(713) 798-4661
✔ PECOS1,090 mi
Pathology
NPI 1952499667
9330 MEDICAL PLAZA DR
Charleston, SC 29406
(843) 847-4179
✔ PECOS1,578 mi

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

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 Professional Pathology Of Wyoming's NPI number?

The NPI number for Professional Pathology Of Wyoming is 1801181730. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Professional Pathology Of Wyoming located?

Professional Pathology Of Wyoming is located at 111 South Jefferson Street, Casper, WY 82601. The listed phone number is (307) 337-1670.

What is Professional Pathology Of Wyoming's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Professional Pathology Of Wyoming enrolled in Medicare?

Yes. Professional Pathology Of Wyoming is registered in the Medicare PECOS enrollment system.

When is Professional Pathology Of Wyoming's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wyoming, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Professional Pathology Of Wyoming?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Pathology, reassign their Medicare billing to Professional Pathology Of Wyoming. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Professional Pathology Of Wyoming accept?

Health plans from Blue Cross Blue Shield of Wyoming list Professional Pathology Of Wyoming 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 Professional Pathology Of Wyoming was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.