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DRAPER DERMATOLOGY, P.C.
NPI 1942832159
Dermatology in Evanston, WY

Active since February 05, 2020
196 ARROWHEAD DR STE 7, EVANSTON, WY 82930(801) 232-6556(801) 987-8467 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2020, Feb 8, 2020 (2 updates tracked since 2020).

About Draper Dermatology, P.c. NPPES

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

DRAPER DERMATOLOGY, P.C. (NPI 1942832159) is a healthcare organization registered as a dermatology in Evanston, Wyoming and active in the NPI registry since February 2020. The organization lists Ryan Cooksey, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1942832159
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDRAPER DERMATOLOGY, P.C.
Location Address196 ARROWHEAD DR STE 7Evanston, WY 82930-8752
Mailing Address1325 W South Jordan Pkwy Ste 103South Jordan, UT 84095-9060 · (801) 232-6556 · Fax (801) 987-8467
Phone(801) 232-6556
Fax(801) 987-8467
Organization SubpartYesParent: Draper Dermatology
Authorized OfficialRyan CookseyPractice Administrator · (801) 232-6556
Enumeration DateFebruary 5, 2020
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
✔ NPI 1942832159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
196 ARROWHEAD DR STE 7, Evanston, WY 82930
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Other Identifiers 1

Medicaid154374100WY

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Draper Dermatology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Draper Dermatology, P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Cory Maughan, D.O.
Micrographic Dermatologic Surgery (MDS)
NPI 1598086720
169 N GATEWAY DR STE 100
Providence, UT 84332
(541) 999-4475
✔ PECOS✔ Accepts Medicare54 mi
Larry Urry, M.D.
Dermatology
NPI 1083716955
1325 W SOUTH JORDAN PKWY STE 103
South Jordan, UT 84095
(801) 232-6556
✔ PECOS✔ Accepts Medicare68 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 Draper Dermatology, P.C.'s NPI number?

The NPI number for Draper Dermatology, P.C. is 1942832159. It was assigned to this organization in the NPPES registry on February 5, 2020.

Where is Draper Dermatology, P.C. located?

Draper Dermatology, P.C. is located at 196 Arrowhead Dr Ste 7, Evanston, WY 82930. The listed phone number is (801) 232-6556.

What is Draper Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Draper Dermatology, P.C. enrolled in Medicare?

Yes. Draper Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Draper Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Draper Dermatology, P.C., in Dermatology and Micrographic Dermatologic Surgery (MDS). 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 Draper Dermatology, P.C. accept?

Health plans from Blue Cross Blue Shield of Wyoming list Draper Dermatology, P.C. 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 Draper Dermatology, P.C. was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.