PHILLIP THOMAS KRMPOTICH MD
NPI 1932219623
Internal Medicine - Gastroenterology in Casper, WY

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
71.67/100
CMS Quality Rating
1441 WILKINS CIRCLE, GASTROENTEROLOGY ASSOCIATES PC, CASPER, WY 82601(307) 265-1792 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillip Thomas Krmpotich Md NPPES

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

PHILLIP THOMAS KRMPOTICH MD (NPI 1932219623) is an individual gastroenterology provider in Casper, Wyoming, licensed in Wyoming (5835A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Campbell County Health, and is a graduate of Creighton University School Of Medicine (1991).

NPPES Registry Identity

NPI1932219623
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePHILLIP THOMAS KRMPOTICHCredential: MD
Location Address1441 WILKINS CIRCLE, GASTROENTEROLOGY ASSOCIATES PCCasper, WY 82601
Mailing Address1441 Wilkins Circle, Gastroenterology Associates PcCasper, WY 82601 · (307) 265-1792
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1991
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1932219623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WY · 5835A
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1441 WILKINS CIRCLE, Casper, WY 82601

Other Identifiers 4

Other307220WY · Blue Cross
Medicaid0059262MT
Medicare ID-Type Unspecified307220WY
Medicare UPINF63896

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phillip Thomas Krmpotich 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 ID8921912700
PECOS Enrollment IDI20031118000154
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 18

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
295 services42 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
292 services278 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
269 services266 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.
237 services193 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
177 services42 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
150 services148 patients

Hospital Affiliations CMS Care Compare 5

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

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Summit Medical Center

Acute Care Hospitals · Casper, WY
OwnershipPhysician
CMS Certification Number530034
Location6350 E 2nd StreetCasper, WY 82609 · Natrona County

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

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
$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.

71.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.21
Promoting Interoperability79
Improvement Activities40
Cost58.87

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.

Internal Medicine (Gastroenterology)
1441 WILKINS CIRCLE, GASTROENTEROLOGY ASSOCIATES PC
CASPER, WY 82601
Internal Medicine (Gastroenterology)
1441 WILKINS CIRCLE, GASTROENTEROLOGY ASSOCIATES PC
CASPER, WY 82601
Anesthesiology
1441 WILKINS CIRCLE
CASPER, WY 82601
Anesthesiology
1441 WILKINS CIRCLE
CASPER, WY 82601
Internal Medicine (Gastroenterology)
1441 WILKINS CIRCLE, GASTROENTEROLOGY ASSOCIATES PC
CAPSER, WY 82601

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 Phillip Krmpotich's NPI number?

The NPI number for Phillip Krmpotich is 1932219623. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Phillip Krmpotich located?

Phillip Krmpotich practices at 1441 Wilkins Circle Gastroenterology Associates PC, Casper, WY 82601. The listed phone number is (307) 265-1792.

What is Phillip Krmpotich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Phillip Krmpotich enrolled in Medicare?

Yes. Phillip Krmpotich 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.

What insurance does Phillip Krmpotich accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Medica, Oscar Health Plan, Inc. and UnitedHealthcare list Phillip Krmpotich 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 Phillip Krmpotich affiliated with any hospitals?

According to CMS data, Phillip Krmpotich is affiliated with Campbell County Health, Wyoming Medical Center, St Johns Medical Center, Summit Medical Center and Memorial Hospital Of Converse County.

When was this NPI record last updated?

The NPPES record for Phillip Krmpotich was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.