Elevation Medical Imaging Gillette
NPI 1003587692 · Radiology Clinic/Center · Gillette, WY
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elevation Medical Imaging Gillette is a Radiology Clinic/Center organization in Gillette, WY (NPI 1003587692).
Provider details
- NPI number
- 1003587692
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shaun Andrikopoulos, Partner(307) 682-1779
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
960 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening 3d Breast Mammography77063 | 170 | $24 |
| Screening Mammography77067 | 170 | $90 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 84 | $125 |
| Mri Scan of Arm Joint Without Contrast73221 | 49 | $145 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 41 | $121 |
| Ct Scan of Leg Without Contrast73700 | 40 | $87 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2023-04-24
- Certified
- 2023-04-24
Frequently asked questions
- What is Elevation Medical Imaging Gillette's NPI number?
- Elevation Medical Imaging Gillette's National Provider Identifier (NPI) is 1003587692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elevation Medical Imaging Gillette?
- Elevation Medical Imaging Gillette is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Elevation Medical Imaging Gillette located?
- Elevation Medical Imaging Gillette's practice location on file with NPPES is 913 E Boxelder Rd, Gillette, WY 82718.
- What is Elevation Medical Imaging Gillette's phone number?
- The practice phone number listed in the NPPES registry for Elevation Medical Imaging Gillette is (307) 682-1779.
- Does Elevation Medical Imaging Gillette accept Medicare?
- Elevation Medical Imaging Gillette is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elevation Medical Imaging Gillette?
- The authorized official listed on Elevation Medical Imaging Gillette's NPPES record is Shaun Andrikopoulos, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elevation Medical Imaging Gillette's NPI active?
- Yes — Elevation Medical Imaging Gillette's NPI (1003587692) is active in the NPPES registry as of the last update on 2023-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.