DR. CULLEN TIMOTHY KEHOE DO
NPI 1013166925
Emergency Medicine in Lake Geneva, WI

Active since September 16, 2008PECOS EnrolledAccepts Medicare Assignment
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147(262) 245-4990(262) 245-2248 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, Mar 23, 2016 (2 updates tracked since 2016).

About Dr. Cullen Timothy Kehoe Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CULLEN TIMOTHY KEHOE DO (NPI 1013166925) is an individual emergency medicine provider in Lake Geneva, Wisconsin, licensed in Wisconsin (53435-21) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013166925
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CULLEN TIMOTHY KEHOECredential: DO
Location AddressN2950 STATE ROAD 67Lake Geneva, WI 53147-2655
Mailing AddressN2950 State Road 67Lake Geneva, WI 53147-2655 · (262) 245-4990 · Fax (262) 245-2248
Fax(262) 245-2248
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2005
Enumeration DateSeptember 16, 2008
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1013166925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in WI · 53435-21 Licensed in ND · 11215 Licensed in IL · 036122047
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

N2950 STATE ROAD 67, Lake Geneva, WI 53147

Secondary Practice Locations 2

Location 11700 W Stout StRice Lake, WI 54868-5000 · Phone (715) 234-1515
Location 22305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000

Other Identifiers 3

Medicaid1013166925WI
Other1013166925WI · Bcbswi
OtherKEHOECULWI · Mercycare Insurance

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Cullen Timothy Kehoe Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496808289
PECOS Enrollment IDI20100909000660
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Midwest Medical Center

Critical Access Hospitals · Galena, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141302
Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Occupational Therapist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Podiatrist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Physical Therapist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Pharmacist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Emergency Medicine
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Physician Assistant
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Anesthesiology
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cullen Kehoe's NPI number?

The NPI number for Cullen Kehoe is 1013166925. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Cullen Kehoe located?

Cullen Kehoe practices at N2950 State Road 67, Lake Geneva, WI 53147. The listed phone number is (262) 245-4990.

What is Cullen Kehoe's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Cullen Kehoe enrolled in Medicare?

Yes. Cullen Kehoe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cullen Kehoe accept?

Health plans from Sanford Health Plan list Cullen Kehoe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cullen Kehoe affiliated with any hospitals?

According to CMS data, Cullen Kehoe is affiliated with Midwest Medical Center.

When was this NPI record last updated?

The NPPES record for Cullen Kehoe was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.