Mary Widener
NPI 1508164856ActiveIndividual· Physician Assistant· Gillette, WY
Physician Assistant with Teton County Hospital District and 1 other group, practicing in Gillette, Wyoming. 63 Medicare patients in 2024, $4,743 paid; nearly all of their 52 Part D prescriptions were generic (96%). Depuy Synthes Sales Inc. reported $17.87 in payments in 2024, mostly food and beverage. Lists Sheridan Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1508164856 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 10, 2011 |
| Last updated in NPPES | May 24, 2021 |
| Certified by provider | May 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 511 | WY |
| Physician Assistant | 363A00000X | PA53799 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA); Practitioner - Physician Assistant (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 114 across 30 procedure codes |
| Paid by Medicare | $4,743 |
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 53 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $530.62 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Teton County Hospital DistrictTeton Village, WY · 108 clinicians
- Big Horn Health NetworkSheridan, WY · 91 clinicians
Hospital affiliations
- Sheridan Memorial HospitalSheridan, WY
- St Johns Medical CenterJackson, WY
Industry payments (Open Payments)
- 2024$17.87 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $17.87 | 1 |
What the 2024 payments were for
- Food and Beverage$17.87 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 physician assistants in Gillette · All physician assistants in Wyoming