Active NPI 1952308967 Individual Practitioner Male Practitioner

Eric Donald Ottenbacher , PA

Physician Assistant • Cheyenne, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Eric Ottenbacher, PA is a certified Physician Assistant practicing in Cheyenne, WY. With approximately 26 years of clinical experience since completing medical education in 2000, Eric Ottenbacher delivers high-quality medical care to the local community at 2030 BLUEGRASS CIR.

Eric Ottenbacher maintains professional affiliations with College Drive Urgent Care Llc, Care United Medical Center Of Laramie Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2030 Bluegrass Cir

Cheyenne, WY 820097328

Telephone 3176353500

Associated Practice Facility / Clinic

🏢 Medi Horizons Inc Facility NPI 1003836834

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cheyenne, WY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +13.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

32 Specialists

Practicing in Cheyenne, WY (263 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ottenbacher (26 Years) 26 Yrs

Cheyenne Specialty Average (12.9 Years) 12.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	142	$245.00	$104.41
99213 Established patient office or other outpatient visit, typically 15 minutes	84	81	$174.00	$73.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$323.03	$136.07
36415 Insertion of needle into vein for collection of blood sample	66	64	$27.00	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	64	63	$55.00	$7.61
81003 Automated urinalysis test	58	52	$26.36	$2.20
80053 Blood test, comprehensive group of blood chemicals	46	46	$73.83	$10.35
87086 Bacterial colony count, urine	42	38	$66.00	$7.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$215.00	$90.61
0240U Nfct ds vir resp rna 3 trgt	32	31	$178.00	$139.78
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$99.00	$11.64
71046 X-ray of chest, 2 views	23	23	$135.00	$23.78
87077 Bacterial culture for aerobic isolates	20	18	$61.00	$7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	20	18	$68.00	$8.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$57.00	$11.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	144	$164.43	$74.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$214.22	$92.27
36415 Insertion of needle into vein for collection of blood sample	64	62	$25.92	$8.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$237.38	$104.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	61	59	$52.79	$7.61
81003 Automated urinalysis test	50	48	$27.96	$2.16
80053 Blood test, comprehensive group of blood chemicals	41	40	$77.68	$10.35
87086 Bacterial colony count, urine	33	31	$64.30	$7.72
0240U Nfct ds vir resp rna 3 trgt	32	32	$164.00	$139.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$320.00	$136.83
87077 Bacterial culture for aerobic isolates	26	23	$57.08	$7.68
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	25	22	$63.44	$8.21
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$91.63	$11.88
71046 X-ray of chest, 2 views	24	23	$135.00	$25.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	16	$57.00	$11.78
87651 Detection test for Strep (Streptococcus, group A)	11	11	$63.00	$34.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	183	171	$150.13	$74.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$213.00	$93.08
36415 Insertion of needle into vein for collection of blood sample	66	66	$27.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	57	57	$55.00	$7.51
0240U Nfct ds vir resp rna 3 trgt	55	55	$150.00	$140.50
81003 Automated urinalysis test	44	43	$29.00	$2.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$221.00	$106.30
80053 Blood test, comprehensive group of blood chemicals	35	35	$81.00	$10.09
87086 Bacterial colony count, urine	24	23	$66.00	$7.64
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$99.00	$11.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$320.00	$138.73
71046 X-ray of chest, 2 views	20	20	$135.00	$28.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	16	$57.00	$11.38
87077 Bacterial culture for aerobic isolates	15	13	$61.00	$7.45
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	15	13	$68.00	$8.55
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$150.00	$50.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	195	$150.00	$76.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$213.00	$94.25
36415 Insertion of needle into vein for collection of blood sample	67	64	$27.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	58	57	$55.00	$7.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	53	$221.00	$109.23
0240U Nfct ds vir resp rna 3 trgt	51	51	$150.00	$147.88
81003 Automated urinalysis test	49	42	$29.00	$2.25
80053 Blood test, comprehensive group of blood chemicals	46	44	$81.00	$10.56
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	36	36	$150.00	$49.88
71046 X-ray of chest, 2 views	28	28	$135.00	$28.75
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	27	26	$150.15	$147.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$320.00	$140.91
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$99.00	$12.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	20	$57.00	$12.00
87086 Bacterial colony count, urine	20	16	$66.00	$8.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	99	$150.00	$63.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	88	$187.70	$91.78
99202 New patient office or other outpatient visit, typically 20 minutes	75	74	$150.00	$64.24
36415 Insertion of needle into vein for collection of blood sample	59	55	$27.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	52	48	$55.00	$7.56
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	36	36	$80.00	$35.33
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	33	31	$150.00	$49.76
81003 Automated urinalysis test	32	31	$29.00	$2.23
80053 Blood test, comprehensive group of blood chemicals	32	30	$81.00	$10.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$213.00	$88.89
87086 Bacterial colony count, urine	21	20	$66.00	$8.02
71046 X-ray of chest, 2 views	21	20	$135.00	$26.59
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$99.00	$14.41
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	16	$68.00	$8.61
87077 Bacterial culture for aerobic isolates	17	16	$61.00	$8.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	12	$57.00	$12.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	186	$182.00	$91.55
36415 Insertion of needle into vein for collection of blood sample	90	88	$27.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	81	79	$55.00	$8.36
99213 Established patient office or other outpatient visit, typically 15 minutes	67	63	$150.00	$61.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$213.00	$90.64
81003 Automated urinalysis test	55	55	$29.00	$2.40
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$150.00	$63.34
80053 Blood test, comprehensive group of blood chemicals	43	43	$81.00	$11.24
71046 X-ray of chest, 2 views	36	35	$135.00	$26.79
87086 Bacterial colony count, urine	36	36	$66.00	$8.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	25	$57.00	$14.15
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	13	$68.00	$16.22
87077 Bacterial culture for aerobic isolates	22	22	$61.00	$8.39
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	22	22	$68.00	$8.99
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$99.00	$14.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	149	$182.00	$88.77
99213 Established patient office or other outpatient visit, typically 15 minutes	103	97	$150.00	$60.28
36415 Insertion of needle into vein for collection of blood sample	92	89	$27.00	$2.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	90	87	$55.00	$9.09
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$150.00	$62.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$211.71	$87.81
80053 Blood test, comprehensive group of blood chemicals	48	47	$81.00	$12.51
87804 Detection test by immunoassay with direct visual observation for influenza virus	39	19	$68.00	$14.56
81003 Automated urinalysis test	37	36	$29.00	$2.64
71046 X-ray of chest, 2 views	29	26	$135.00	$23.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	23	$57.00	$16.65
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$99.00	$14.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	162	$182.00	$87.59
36415 Insertion of needle into vein for collection of blood sample	119	107	$27.00	$2.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	108	101	$55.00	$10.12
99213 Established patient office or other outpatient visit, typically 15 minutes	91	89	$150.00	$60.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$213.00	$87.88
80053 Blood test, comprehensive group of blood chemicals	61	57	$81.00	$13.61
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	26	$68.00	$15.49
81003 Automated urinalysis test	48	47	$29.00	$3.02
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$150.00	$62.07
71020 X-ray of chest, 2 views, front and side	30	29	$135.00	$17.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	23	$57.00	$21.47
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$99.00	$14.07
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$38.00	$17.48
G0008 Administration of influenza virus vaccine	16	16	$23.97	$23.49
74020 Imaging of abdomen	11	11	$147.00	$24.26

Medical Specialties & State Licenses

CMS Verified: 2025-07-31

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WY PA797

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA10004156

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8330938 (WA)

Commercial Insurance / Payer ID Rr Medicare

970022268

Commercial Insurance / Payer ID Labor & Ind.

149048 (WA)

Commercial Insurance / Payer ID Crime Victims

8929945 (WA)

Hospital & Practice Group Affiliations

College Drive Urgent Care Llc

2030 Bluegrass Cir, Cheyenne, WY 820097328

Phone: 3076353500

Care United Medical Center Of Laramie Llc

3435 N College Drive A, Cheyenne, WY 820012088

Phone: 3074561919

Practice Associates & Co-Workers

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

8 Associated Practitioners

Corey Page , PA-C

Physician Assistant

NPI 1003096959

Physician Assistant (Certified)

Dr. Derek Nevins , MD

Family Medicine

NPI 1316189970

Doctor of Medicine (M.D.)

Jamie Wilder , FNP-BC

Nurse Practitioner - Family

NPI 1457929945

Family Nurse Practitioner (Board Certified)

Dr. Theresa O'donnell , MD

Family Medicine

NPI 1467500447

Doctor of Medicine (M.D.)

Christopher Morgan , PA-C

Physician Assistant

NPI 1700800299

Physician Assistant (Certified)

Kristi Roybal , FNP-C

Nurse Practitioner - Family

NPI 1790160679

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 31, 2025

Registered at 2030 BLUEGRASS CIR, CHEYENNE, WY 820097328 (Tel: 3176353500)

📍

Updated Business Mailing Address July 31, 2025

Registered at 2030 BLUEGRASS CIR, CHEYENNE, WY 820097328 (Tel: 3176353500)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322310 (Tel: 3604142385)

📍

Updated Business Mailing Address July 09, 2007

Registered at PO BOX 249, LONGVIEW, WA 986327154 (Tel: 3604142048)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as ERIC OTTENBACHER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #PA10004156 in WA)

🟢

Initial NPI Registration & Enumeration July 05, 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: 1952308967

Entity Type:

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

Enumeration Date: July 05, 2005

Last Update: July 31, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2030 Bluegrass Cir

Cheyenne, WY 820097328

Phone: 3176353500

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

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