MR. BRENDAN H FITZSIMMONS MD
NPI 1912102989
Family Medicine in Marbleton, WY

Q: What is Brendan Fitzsimmons's NPI number?

The NPI number for Brendan Fitzsimmons is 1912102989. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Q: What is Brendan Fitzsimmons's specialty?

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

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment

58.5/100

CMS Quality Rating

103 W 3RD ST., MARBLETON, WY 83113(307) 276-3306(307) 276-3024 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Brendan H Fitzsimmons Md NPPES

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

MR. BRENDAN H FITZSIMMONS MD (NPI 1912102989) is an individual family medicine provider in Marbleton, Wyoming, licensed in Wyoming (6031-A) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Cheyenne Regional Medical Center, and is a graduate of Creighton University School Of Medicine (1995).

NPPES Registry Identity

NPI1912102989

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. BRENDAN H FITZSIMMONSCredential: MD

Location Address103 W 3RD ST.Marbleton, WY 83113

Mailing AddressPo Box 787Big Piney, WY 83113-0787 · (307) 276-3306 · Fax (307) 276-3024

Phone(307) 276-3306

Fax(307) 276-3024

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1995

Enumeration DateJune 19, 2007

Last NPPES UpdateNovember 3, 2016

✔ NPI 1912102989 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 · 6031-A

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.

103 W 3RD ST., Marbleton, WY 83113

Open in Google Maps ↗

Other Identifiers 5

Medicare OSCAR/certification535019WY

Medicare OSCAR/certification53Z301WY

Medicare UPING29995WY

Medicare OSCAR/certification531301WY

Medicare OSCAR/certification533981WY

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

Mr. Brendan H Fitzsimmons Md 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 ID3870649056

PECOS Enrollment IDI20090914000663

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

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

South Lincoln Hospital District

57 mi

Rural

711 ONYX ST
Kemmerer, WY 83101

Reassigned Medicare billing, Wyoming enrollment
18 clinicians in this Medicare group

NPI 1033221569 (307) 877-4401

North Big Horn Hospital

179 mi

Rural Health

1115 LANE 12
Lovell, WY 82431

Reassigned Medicare billing, Wyoming enrollment
Medicare enrollment name: North Big Horn Hospital District
65 clinicians in this Medicare group

NPI 1750485793 (307) 548-5201

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 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.

218 services126 patients

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.

141 services104 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

75 services59 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

46 services15 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

42 services26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number530014

Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County

Emergency services Birthing friendly

South Lincoln Medical Center - Cah

Critical Access Hospitals · Kemmerer, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531315

Location711 Onyx StreetKemmerer, WY 83101 · Lincoln County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83113 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.

58.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

47.77

Improvement Activities

Cost

57.42

Referred Medical Equipment & Supplies CMS DME claims 22

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

5 suppliers31 claims61 services$6.27 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers11 claims11 services$108.51 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers12 claims29 services$39.38 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers11 claims61 services$23.36 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers16 claims16 services$69.85 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers19 claims19 services$23.69 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers16 claims16 services$22.57 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers22 claims110 services$3.14 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers13 claims13 services$14.27 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

3 suppliers30 claims30 services$19.17 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier14 claims14 services$49.09 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers12 claims12 services$922.57 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers16 claims18 services$18.75 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers14 claims15 services$7.78 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers38 claims38 services$54.73 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

8 suppliers134 claims134 services$105.68 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers56 claims56 services$34.80 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier15 claims810 services$4.52 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers23 claims2,687 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers31 claims1,770 services$0.79 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.80 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers43 claims43 services$24.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Brendan Fitzsimmons's NPI number?

The NPI number for Brendan Fitzsimmons is 1912102989. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Brendan Fitzsimmons located?

Brendan Fitzsimmons practices at 103 W 3rd St., Marbleton, WY 83113. The listed phone number is (307) 276-3306.

What is Brendan Fitzsimmons's specialty?

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

Is Brendan Fitzsimmons enrolled in Medicare?

Yes. Brendan Fitzsimmons 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 Brendan Fitzsimmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Fitzsimmons reassigns Medicare benefits to 2 organizations: South Lincoln Hospital District (Kemmerer, WY) and North Big Horn Hospital (Lovell, 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 Brendan Fitzsimmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Fitzsimmons accept?

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

According to CMS data, Brendan Fitzsimmons is affiliated with Cheyenne Regional Medical Center and South Lincoln Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Brendan Fitzsimmons was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.