Active NPI 1902899230 Individual Practitioner Male Practitioner

Daniel W. Fedore , PA

Physician Assistant • Casper, WY

Professional Overview & Biography Verified Profile Summary

Daniel Fedore, PA is a registered healthcare professional specializing in Physician Assistant in Casper, WY. Practice services are available at 4140 CENTENNIAL HILLS BLVD under active NPI credentials.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4140 Centennial Hills Blvd
Ste A

Casper, WY 82609

Telephone 3072657205

Fax 3072356262

Associated Practice Facility / Clinic

🏢 Casper Orthopaedic Associates Pc Facility NPI 1962494864

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Casper, WY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.3 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

59 Specialists

Practicing in Casper, WY (263 Statewide)

Telehealth Adoption Rate

16.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,056	14	$25.00	$9.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	290	170	$57.00	$47.32
99213 Established patient office or other outpatient visit, typically 15 minutes	120	114	$95.81	$75.53
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	120	42	$17.41	$6.51
73030 X-ray of shoulder, minimum of 2 views	90	64	$34.81	$28.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$113.24	$93.64
73564 X-ray of knee, 4 or more views	71	55	$46.73	$39.66
20610 Aspiration and/or injection of fluid from large joint	67	55	$73.26	$59.72
73110 X-ray of wrist, minimum of 3 views	34	21	$40.98	$34.76
73502 X-ray of hip, 2-3 views	24	19	$47.86	$32.16
73610 X-ray of ankle, minimum of 3 views	18	12	$38.02	$29.99
73562 X-ray of knee, 3 views	17	14	$40.05	$34.50
73630 X-ray of foot, minimum of 3 views	14	12	$50.83	$27.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	214	131	$53.83	$47.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	135	51	$17.48	$6.65
99213 Established patient office or other outpatient visit, typically 15 minutes	115	111	$84.55	$76.52
73030 X-ray of shoulder, minimum of 2 views	95	67	$30.45	$29.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$106.99	$94.16
20610 Aspiration and/or injection of fluid from large joint	75	55	$61.36	$53.30
73564 X-ray of knee, 4 or more views	66	54	$46.68	$39.56
73110 X-ray of wrist, minimum of 3 views	29	16	$39.89	$34.46
72050 X-ray of upper spine, 4 or 5 views	21	21	$46.95	$44.56
73502 X-ray of hip, 2-3 views	17	15	$41.46	$36.92
73610 X-ray of ankle, minimum of 3 views	17	14	$56.67	$26.29
27447 Replacement of knee joint, both sides of knee	12	11	$214.11	$174.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	106	$52.68	$48.11
99213 Established patient office or other outpatient visit, typically 15 minutes	84	83	$85.45	$77.74
20610 Aspiration and/or injection of fluid from large joint	74	48	$56.81	$50.68
73030 X-ray of shoulder, minimum of 2 views	60	48	$32.08	$29.05
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	55	23	$17.32	$7.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$98.86	$95.98
73564 X-ray of knee, 4 or more views	45	36	$40.84	$39.65
J1030 Injection, methylprednisolone acetate, 40 mg	29	20	$20.80	$5.75
73630 X-ray of foot, minimum of 3 views	22	18	$30.45	$29.56
J1040 Injection, methylprednisolone acetate, 80 mg	21	16	$41.60	$10.62
73502 X-ray of hip, 2-3 views	13	11	$41.46	$37.87
73610 X-ray of ankle, minimum of 3 views	13	11	$32.59	$31.64
27447 Replacement of knee joint, both sides of knee	11	11	$1007.12	$176.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	95	$41.61	$39.00
99213 Established patient office or other outpatient visit, typically 15 minutes	85	84	$73.71	$64.23
73030 X-ray of shoulder, minimum of 2 views	48	38	$32.97	$28.16
20610 Aspiration and/or injection of fluid from large joint	47	37	$54.96	$49.86
73564 X-ray of knee, 4 or more views	38	34	$41.11	$37.55
J1030 Injection, methylprednisolone acetate, 40 mg	33	17	$20.80	$6.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$105.10	$92.50
J1040 Injection, methylprednisolone acetate, 80 mg	25	23	$41.60	$11.63
73110 X-ray of wrist, minimum of 3 views	17	12	$49.80	$31.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	104	$42.48	$38.06
99213 Established patient office or other outpatient visit, typically 15 minutes	68	66	$77.08	$62.60
20610 Aspiration and/or injection of fluid from large joint	53	48	$63.33	$56.65
J1040 Injection, methylprednisolone acetate, 80 mg	49	39	$41.60	$12.11
73564 X-ray of knee, 4 or more views	36	31	$37.39	$35.38
73030 X-ray of shoulder, minimum of 2 views	35	29	$31.84	$25.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$95.73	$91.87
73502 X-ray of hip, 2-3 views	24	18	$43.02	$33.19
73630 X-ray of foot, minimum of 3 views	18	16	$32.44	$26.55
73562 X-ray of knee, 3 views	17	14	$33.23	$31.66
73610 X-ray of ankle, minimum of 3 views	14	11	$29.85	$28.39
27447 Replacement of knee joint, both sides of knee	14	14	$253.72	$199.95
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$58.23	$41.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	48	$43.87	$35.98
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$68.83	$59.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$104.20	$87.21
J1040 Injection, methylprednisolone acetate, 80 mg	22	15	$40.00	$12.92
20610 Aspiration and/or injection of fluid from large joint	21	16	$73.77	$53.38
73564 X-ray of knee, 4 or more views	17	15	$40.80	$32.74
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$49.30	$40.19
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$336.02	$184.63
73630 X-ray of foot, minimum of 3 views	12	11	$29.75	$24.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	66	$42.09	$37.06
99213 Established patient office or other outpatient visit, typically 15 minutes	50	50	$64.60	$62.04
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	38	13	$14.94	$6.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$100.58	$92.32
20610 Aspiration and/or injection of fluid from large joint	28	24	$86.51	$62.07
73564 X-ray of knee, 4 or more views	25	23	$40.80	$33.77
J1040 Injection, methylprednisolone acetate, 80 mg	21	15	$40.00	$10.82
73030 X-ray of shoulder, minimum of 2 views	17	14	$42.96	$24.02
73502 X-ray of hip, 2-3 views	13	12	$45.87	$35.28
27447 Replacement of knee joint, both sides of knee	12	12	$271.36	$188.94
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$50.73	$41.65

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WY 247

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

117270100 (WY)

Commercial Insurance / Payer ID Bcbs

312443 (WY)

Commercial Insurance / Payer ID Rr Medicare

P00059533 (WY)

Secondary Practice Locations

1001 W Main St

Riverton, WY 825013230

Phone: 3072657205

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Eva Cheros , DPT

Physical Therapist

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Doctor of Physical Therapy

Dr. Leanne Parks , DPT

Physical Therapist

NPI 1053592154

Doctor of Physical Therapy

Dr. Thomas Landon , MD

Orthopaedic Surgery

NPI 1073515672

Doctor of Medicine (M.D.)

Dr. Ari Amitai , MD

Orthopaedic Surgery

NPI 1104230374

Doctor of Medicine (M.D.)

Dr. Joseph Hahn , MD

Orthopaedic Surgery

NPI 1114192473

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location June 11, 2018

Registered at 4140 CENTENNIAL HILLS BLVD, STE A, CASPER, WY 82609 (Tel: 3072657205)

✅

NPI Profile Active October 03, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2007

Registered at 4140 CENTENNIAL HILLS BLVD, STE A, CASPER, WY 826093265 (Tel: 3072657205)

📍

Updated Business Mailing Address October 03, 2007

Registered at 4140 CENTENNIAL HILLS BLVD, STE A, CASPER, WY 826093265 (Tel: 3072657205)

👤

Provider Name / Credentials Updated October 03, 2007

Recorded as DANIEL FEDORE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2007

Physician Assistant (License #247 in WY)

🟢

Initial NPI Registration & Enumeration August 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902899230

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 23, 2005

Last Update: June 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4140 Centennial Hills Blvd, Ste A

Casper, WY 826093265

Phone: 3072657205

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.