Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Mar 4, 2024, Mar 23, 2016 (3 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 UpdateSeptember 29, 20263 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

OtherKEHOECULWI · Mercycare Insurance
Other1013166925WI · Bcbswi
Medicaid1013166925WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Cullen Kehoe reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • 671 clinicians in this Medicare group
Student Health
840 BLACKHAWK BLVD
South Beloit, IL 61080
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
Family Medicine
420 W NORTH ST
Juneau, WI 53039
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Clinic/Center
117 N MAIN ST
Elizabeth, IL 61028
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1952409765 (Illinois)
  • 51 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Cullen Kehoe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cullen Kehoe reassigns Medicare benefits to 9 organizations: Mercy Health System Corporation (Janesville, WI), The Board Of Trustees Of The University Of Illinois (South Beloit, IL), Beaver Dam Community Hospitals Inc (Juneau, WI), Midwest Medical Center (Elizabeth, IL), Mchs Hospitals, Inc. (Plover, WI) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cullen Kehoe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.