DR. KATHRYN OLSEN COCKERHAM M.D.
NPI 1215100839
Emergency Medicine in Roosevelt, UT
About Dr. Kathryn Olsen Cockerham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHRYN OLSEN COCKERHAM M.D. (NPI 1215100839) is an individual emergency medicine provider in Roosevelt, Utah, licensed in Utah (338161-1205) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Cabinet Peaks Medical Center, and maintains a secondary practice location in Polson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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. Kathryn Olsen Cockerham M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Cockerham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Polson, MT 59860
- Reassigned Medicare billing, Montana enrollment
- 111 clinicians in this Medicare group
Libby, MT 59923
- Reassigned Medicare billing, Montana enrollment
- Medicare enrollment name: St Johns Lutheran Hospital Inc
- 67 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cabinet Peaks Medical Center
Critical Access Hospitals · Libby, MTProvidence St Joseph Medical Center
Critical Access Hospitals · Polson, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Kathryn Cockerham's NPI number?
The NPI number for Kathryn Cockerham is 1215100839. It was assigned to this individual provider in the NPPES registry on April 3, 2008.
Where is Kathryn Cockerham located?
Kathryn Cockerham practices at 250 W 300 N, Roosevelt, UT 84066. The listed phone number is (801) 722-4691.
What is Kathryn Cockerham's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kathryn Cockerham enrolled in Medicare?
Yes. Kathryn Cockerham 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 Kathryn Cockerham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Cockerham reassigns Medicare benefits to 2 organizations: Providence St Joseph Medical Center (Polson, MT) and St. John's Lutheran Hospital, Inc. (Libby, MT). 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 Kathryn Cockerham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Cockerham accept?
Health plans from Blue Cross and Blue Shield of Montana list Kathryn Cockerham 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 Kathryn Cockerham affiliated with any hospitals?
According to CMS data, Kathryn Cockerham is affiliated with Cabinet Peaks Medical Center and Providence St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Kathryn Cockerham was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Kathryn Olsen Cockerham, M.D. · NPI 1215100839
Emergency Medicine physician in Roosevelt, Utah. Individual provider, active in the CMS NPPES registry since April 3, 2008.
## Identity
- **NPI:** 1215100839 (Entity type: Individual)
- **Enumerated:** April 3, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 338161-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 250 W 300 N, Roosevelt, UT 84066-2336
- **Phone:** (801) 722-4691
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence St Joseph Medical Center (NPI 1669655528, Polson, MT); St. John's Lutheran Hospital, Inc. (NPI 1952312050, Libby, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215100839) · Data from the CMS NPPES public registry.