DR. SANDRA K SURBRUGG MD NPI 1699742957

NPI Information

  • NPI: 1699742957
  • Provider Name: DR. SANDRA K SURBRUGG, MD
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 123 WESTERN HILLS BLVD
    CHEYENNE, WY
    ZIP 82009
  • Phone: (307) 635-0226

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NPI Details

DR. Sandra K Surbrugg, MD is a dermatology in Cheyenne, WY with 45 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Sandra K Surbrugg, MD NPI is 1699742957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1981

The provider's business location address is:

123 WESTERN HILLS BLVD
CHEYENNE, WY
ZIP 82009-446
Phone: (307) 635-0226
Fax: (307) 635-1924

The NPI 1699742957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm (HCPCS:11644)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11311)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm (HCPCS:11624)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11306)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11310)
  • Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
  • Biopsy of ear (HCPCS:69100)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:11643)
  • Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11606)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11307)
  • Shaving of skin growth of body, arms, or legs, 0.5 cm or less (HCPCS:11300)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11312)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS:11305)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology3492AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E12247MEDICARE UPIN
2305071MEDICARE ID-TYPE UNSPECIFIEDWYOMING
383025288113MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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