Teton Outpatient Services LLC
NPI 1689651481 · Ambulatory Surgical Clinic/Center · Jackson, WY
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teton Outpatient Services LLC is a Ambulatory Surgical Clinic/Center organization in Jackson, WY (NPI 1689651481).
Provider details
- NPI number
- 1689651481
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Officer/Authorized Official(480) 567-0269
- License
- 0713016 (WY)
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
20 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
1,117 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) |
|---|---|---|
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 520 | $387 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 113 | $1,100 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 69 | $33 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 69 | $537 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 64 | $279 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Frequently asked questions
- What is Teton Outpatient Services LLC's NPI number?
- Teton Outpatient Services LLC's National Provider Identifier (NPI) is 1689651481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Outpatient Services LLC?
- Teton Outpatient Services LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Teton Outpatient Services LLC located?
- Teton Outpatient Services LLC's practice location on file with NPPES is 150 Buffalo Way, Jackson, WY 83001-2530.
- What is Teton Outpatient Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Teton Outpatient Services LLC is (307) 733-8677.
- Does Teton Outpatient Services LLC accept Medicare?
- Teton Outpatient Services LLC 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 Teton Outpatient Services LLC?
- The authorized official listed on Teton Outpatient Services LLC's NPPES record is Eric Boon, Officer/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Outpatient Services LLC's NPI active?
- Yes — Teton Outpatient Services LLC's NPI (1689651481) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.