Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary M Ottersbach, PA-C

Individual provider Physician Assistant · NPI 1699861732

Gary M Ottersbach, PA-C is a Physician Assistant in Casper, Wyoming. Qualified in 1987, 39 years ago. Practices with Banner Health Physicians West LLC, a 99-clinician group and accepts Medicare assignment. Licensed in Nevada and Wyoming.

Years since qualifying
39
Licensed in
NV, WY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2521 E 15th St
Casper, WY 82609-4126
Phone: (307) 472-2293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 115 (WY)
Physician Assistant Taxonomy 363A00000X · Licence PA1001 (NV)

Record details

NPI number1699861732
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 31, 2010
Mailing address2521 E 15th St, Casper, WY 82609-4126

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Banner Health Physicians West Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Casper