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DR. KATHRYN OLSEN COCKERHAM M.D.
NPI 1215100839
Emergency Medicine in Roosevelt, UT

Active since April 03, 2008PECOS EnrolledAccepts Medicare Assignment
89.75/100
CMS Quality Rating
250 W 300 N, ROOSEVELT, UT 84066(801) 722-4691 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1215100839
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KATHRYN OLSEN COCKERHAMCredential: M.D.
Location Address250 W 300 NRoosevelt, UT 84066-2336
Mailing Address250 W 300 NRoosevelt, UT 84066-2336
Phone(801) 722-4691
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2006
Enumeration DateApril 3, 2008
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1215100839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in UT · 338161-1205✔ Licensed in MT · MED-PHYS-LIC-33350
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.
250 W 300 N, Roosevelt, UT 84066
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Secondary Practice Location 1

Location 16 13th Ave EPolson, MT 59860-5315 · Phone (406) 883-5680

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.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. 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.

PECOS PAC ID3971630898
PECOS Enrollment IDI20140729000425
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 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, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271320
Location209 Health Park DrLibby, MT 59923 · Lincoln County
Emergency services

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271343
Location6 13th Ave EPolson, MT 59860 · Lake County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

89.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.04
Promoting Interoperability94
Improvement Activities40

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.

MRS. VALARIE JEAN HAMBLIN RN, BSN, LCCE
Registered Nurse
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6150
SHAWN W HAWKINS
Physical Therapist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6163
UBMC ANESTHESIOLOGY
Nurse Anesthetist, Certified Registered
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (801) 432-2600
KERRY ROBERT BAUM JR. MD
Surgery
250 W 300 N, UINTAH BASIN MEDICAL CENTER
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
ROYCE PORTER
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 725-7448
MR. WESTON ROSS WEAVER RPH
Pharmacist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6123
DR. CHRISTIAN BOEKWEG DO
Family Medicine
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
GREG NEILSEN OTR/L
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6186

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.

What insurance does Kathryn Cockerham accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP 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 8 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.