Active NPI 1497840110 Individual Practitioner Male Practitioner

Dr. Donald Albert Gullickson , MD

Internal Medicine • Lander, WY

Professional Overview & Biography Verified Profile Summary

Dr. Donald Gullickson, MD is a registered healthcare professional specializing in Internal Medicine in Lander, WY. Practice services are available at 745 BUENA VISTA DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

745 Buena Vista Dr

Lander, WY 825203431

Telephone 3073322941

Fax 3073322068

Associated Practice Facility / Clinic

🏢 Bodyworks Physical Therapy, Pllc Facility NPI 1073712527

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lander, WY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.0 Yrs

State Avg: 18.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Lander, WY (144 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.8% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	16	$191.00	$72.09
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$252.00	$101.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	47	$191.00	$72.28
99238 Hospital discharge day management, 30 minutes or less	36	36	$221.00	$72.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	34	$87.00	$8.47
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$252.00	$100.63
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	19	19	$197.00	$14.60
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	19	19	$179.00	$21.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	48	$191.00	$70.31
99238 Hospital discharge day management, 30 minutes or less	36	34	$221.00	$70.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$339.00	$132.10
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	21	21	$197.00	$14.41
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	21	21	$179.00	$21.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$135.00	$37.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	11	$87.00	$7.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	46	$191.00	$66.76
99238 Hospital discharge day management, 30 minutes or less	38	36	$221.00	$67.43
99221 Initial hospital inpatient care per day, typically 30 minutes	30	28	$252.00	$97.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	13	$259.00	$99.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	25	$87.00	$8.13
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	18	18	$197.00	$14.18
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	18	18	$179.00	$21.28

Medical Specialties & State Licenses

CMS Verified: 2020-01-31

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WY 2072A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102799900 (WY)

Commercial Insurance / Payer ID Blue Shield

301810 (WY)

Commercial Insurance / Payer ID Medicare Railroad Retirem

110055880

Practice Associates & Co-Workers

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

24 Associated Practitioners

Shirley Schatza , NP

Nurse Practitioner - Family

NPI 1073811584

Nurse Practitioner

Dr. Broc White , MD

Family Medicine

NPI 1073856225

Doctor of Medicine (M.D.)

Kristine Cardinal , FNP-C

Nurse Practitioner - Family

NPI 1093203069

Family Nurse Practitioner (Certified)

Carol Quillen , PA-C

Physician Assistant

NPI 1093801664

Physician Assistant (Certified)

Dr. Brian Gee , MD

Family Medicine

NPI 1134117039

Doctor of Medicine (M.D.)

Dr. James Brubaker , MD

Obstetrics & Gynecology

NPI 1245326867

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 Business Mailing Address January 31, 2020

Registered at 830 LINCOLN ST, LANDER, WY 825202736 (Tel: 3073324420)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 745 BUENA VISTA DR, LANDER, WY 825203431 (Tel: 3073322941)

📍

Updated Business Mailing Address July 08, 2007

Registered at 745 BUENA VISTA DR, LANDER, WY 825203431 (Tel: 3073322941)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DONALD GULLICKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #2072A in WY)

🟢

Initial NPI Registration & Enumeration October 04, 2006

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: 1497840110

Entity Type:

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

Enumeration Date: October 04, 2006

Last Update: January 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

830 Lincoln St

Lander, WY 825202736

Phone: 3073324420

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.