ADRIAN FLUTURE M.D.
NPI 1982729802
Internal Medicine - Cardiovascular Disease in Casper, WY

Q: What is Adrian Fluture's NPI number?

The NPI number for Adrian Fluture is 1982729802. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: Where is Adrian Fluture located?

Adrian Fluture practices at 1230 E 1st St, Casper, WY 82601. The listed phone number is (307) 266-3174.

Q: What is Adrian Fluture's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: Is Adrian Fluture enrolled in Medicare?

Yes. Adrian Fluture 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.

Q: Which organizations bill Medicare for Adrian Fluture's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Fluture reassigns Medicare benefits to 2 organizations: Wyoming Cardiopulmonary Services, PC (Casper, WY) and Wyoming Medical Center Inc (Casper, 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 Adrian Fluture's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Q: What insurance does Adrian Fluture accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Adrian Fluture 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.

Q: Is Adrian Fluture affiliated with any hospitals?

According to CMS data, Adrian Fluture is affiliated with Sagewest Health Care, Wyoming Medical Center, Memorial Hospital Of Converse County, Hot Springs County Memorial Hospital and Memorial Hospital Of Carbon County.

Q: When was this NPI record last updated?

The NPPES record for Adrian Fluture was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment

91.82/100

CMS Quality Rating

1230 E 1ST ST, CASPER, WY 82601(307) 266-3174 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Adrian Fluture M.d. NPPES

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

ADRIAN FLUTURE M.D. (NPI 1982729802) is an individual cardiovascular disease provider in Casper, Wyoming, licensed in Wyoming (7827A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1982729802

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameADRIAN FLUTURECredential: M.D.

Location Address1230 E 1ST STCasper, WY 82601-2704

Mailing Address1230 E 1st StCasper, WY 82601-2704 · (307) 266-3174

Phone(307) 266-3174

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateMarch 20, 2007

Last NPPES UpdateSeptember 4, 2008

✔ NPI 1982729802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in WY · 7827A✔ Licensed in MA · 220145

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1230 E 1ST ST, Casper, WY 82601

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Other Identifiers 1

Medicare PINW22022WY

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

Adrian Fluture M.d. 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 ID3870668387

PECOS Enrollment IDI20080819000191

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 Adrian Fluture reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wyoming Cardiopulmonary Services, PC

Same address

Cardiovascular Disease

1230 E 1ST ST
Casper, WY 82601

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

NPI 1992866560 (307) 266-3174

Wyoming Medical Center Inc

0.2 mi

General Acute Care Hospital

1233 E 2ND ST
Casper, WY 82601

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

NPI 1346332954 (307) 577-2171

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 47

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

402 services363 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.

391 services333 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

271 services261 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

265 services25 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

256 services64 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.

249 services217 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

211 services207 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

170 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

165 services150 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

153 services77 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

90 services89 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

77 services47 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

76 services76 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

67 services67 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

66 services65 patients

Injection, sulfur hexafluoride lipid microspheres, per ml Q9950

This procedure involves an injection of sulfur hexafluoride lipid microspheres. These tiny bubbles enhance the quality of ultrasound images, aiding in more accurate diagnoses. The injection is safe and typically used in cardiovascular imaging.

60 services12 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

58 services57 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

57 services55 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

56 services39 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

55 services52 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

51 services51 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

50 services48 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services49 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

47 services46 patients

Interpretation and report of ultrasound of heart 93314

This procedure involves using ultrasound technology to create images of your heart. These images help identify heart conditions by showing the size, structure, and motion of your heart. A report is then prepared detailing the findings.

45 services45 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

38 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

36 services36 patients

Repair of left upper heart chamber with implant with review by radiologist 33340

This is a procedure to fix a problem in your left upper heart chamber. An implant is used to correct the issue. After the procedure, a radiologist, a doctor who specializes in medical imaging, reviews the images to ensure everything is in order.

33 services33 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

30 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

30 services21 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

29 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

27 services20 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

26 services26 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

25 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

24 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

23 services20 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

22 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

20 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

15 services11 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel 92979

This procedure involves using ultrasound technology to evaluate the condition of your heart's blood vessels or graft. A radiologist reviews the images to check for any abnormalities. If additional vessels need to be examined, the process is repeated.

14 services11 patients

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel 92941

This procedure involves removing plaque, a substance that can block your blood vessels, and any blood clots. A stent, a tiny tube, may be inserted to keep the vessel open. If necessary, a balloon is inflated to widen the vessel, aiding blood flow.

13 services13 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

13 services13 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

13 services13 patients

Injection, aminophyllin, up to 250 mg J0280

An aminophyllin injection is a treatment often used for severe asthma or other lung conditions. It helps to relax and open air passages in the lungs, making it easier to breathe. Up to 250 mg can be administered in one dose.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Sagewest Health Care

Acute Care Hospitals · Riverton, WY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number530008

Location2100 W Sunset DrRiverton, WY 82501 · Fremont 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

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

Hot Springs County Memorial Hospital

Critical Access Hospitals · Thermopolis, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531304

Location150 East ArapahoeThermopolis, WY 82443 · Hot Springs County

Emergency services

Memorial Hospital Of Carbon County

Critical Access Hospitals · Rawlins, WY

OwnershipGovernment - Local

CMS Certification Number531316

Location2221 West Elm StreetRawlins, WY 82301 · Carbon County

Emergency services

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

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

Most-billed visit code 99213

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.

91.82/100

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

Individually scored

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

72.74

Reported Quality Measures

Advance Care Plan

91%834 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

74%42 patients4/55-star benchmark: 87%

Controlling High Blood Pressure

80%695 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

100%39 patients5/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

100%1,383 patients5/55-star benchmark: 100%

e-Prescribing

85%630 patients1/55-star benchmark: 100%

Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

82%72 patients4/55-star benchmark: 100%

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

93%75 patients4/55-star benchmark: 100%

Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)

55%71 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,090 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

50%118 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 902 patients

Patients screened: 94% · 902 patients

93%482 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%334 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

89%669 patients4/55-star benchmark: 91%

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

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

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

3 suppliers12 claims12 services$89.40 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 17

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

DONNA JEAN SMITH FNP-C

Nurse Practitioner (Family)