JONATHAN L GROSDIDIER M.D.
NPI 1992808398
Surgery in Douglas, WY

Q: What is Jonathan Grosdidier's NPI number?

The NPI number for Jonathan Grosdidier is 1992808398. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Jonathan Grosdidier's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment

71.67/100

CMS Quality Rating

111 S 5TH ST, DOUGLAS, WY 82633(307) 358-2122(307) 358-9216 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan L Grosdidier M.d. NPPES

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

JONATHAN L GROSDIDIER M.D. (NPI 1992808398) is an individual surgery provider in Douglas, Wyoming, licensed in Wyoming (7331A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Converse County, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1992).

NPPES Registry Identity

NPI1992808398

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJONATHAN L GROSDIDIERCredential: M.D.

Location Address111 S 5TH STDouglas, WY 82633-2434

Mailing Address111 S 5th StDouglas, WY 82633-2434 · (307) 358-2122 · Fax (307) 358-9216

Phone(307) 358-2122

Fax(307) 358-9216

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1992

Enumeration DateSeptember 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992808398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WY · 7331A

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

111 S 5TH ST, Douglas, WY 82633

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Other Identifiers 3

Other314089WY · Bcbs Of Wyoming

Medicare ID-Type UnspecifiedW20720WY

Medicare UPINF85514WY

Accepted Insurance

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

Jonathan L Grosdidier 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 ID749240810

PECOS Enrollment IDI20060314000095

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

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.

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.

17 services11 patients

Hospital Affiliations CMS Care Compare

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

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 82633 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

$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.

71.67/100

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

Scored as part of a group practice

Quality

64.21

Promoting Interoperability

Improvement Activities

Cost

58.87

Other Providers at the Same Location NPPES 20

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

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