KATHLEEN ANN DIVINCENZO M.D.
NPI 1477596989
Internal Medicine in Cody, WY

Active since June 13, 2006PECOS Enrolled
61.17/100
CMS Quality Rating
707 SHERIDAN AVE, CODY, WY 82414(307) 578-2480(307) 578-2492 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, Nov 14, 2019 (2 updates tracked since 2019).

About Kathleen Ann Divincenzo M.d. NPPES

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

KATHLEEN ANN DIVINCENZO M.D. (NPI 1477596989) is an individual internal medicine provider in Cody, Wyoming, licensed in Wyoming (4494A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477596989
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHLEEN ANN DIVINCENZOCredential: M.D.
Location Address707 SHERIDAN AVECody, WY 82414
Mailing Address707 Sheridan AveCody, WY 82414 · (307) 578-2480 · Fax (307) 578-2492
Fax(307) 578-2492
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
NPI 1477596989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WY · 4494A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
707 SHERIDAN AVE, Cody, WY 82414

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 (PECOS)

Kathleen Ann Divincenzo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
117 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82414 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

61.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.83
Promoting Interoperability80
Improvement Activities40
Cost15.41

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$21.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims34 services$111.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
707 SHERIDAN AVE
CODY, WY 82414
Physical Therapist
707 SHERIDAN AVE
CODY, WY 82414
Counselor (Addiction (Substance Use Disorder))
707 SHERIDAN AVE
CODY, WY 82414
Registered Nurse (Registered Nurse First Assistant)
707 SHERIDAN AVE
CODY, WY 82414
Hospice Care, Community Based
707 SHERIDAN AVE
CODY, WY 82414
Emergency Medicine
707 SHERIDAN AVE
CODY, WY 82414
Nurse Anesthetist, Certified Registered
707 SHERIDAN AVE
CODY, WY 82414
Nurse Practitioner (Pediatrics, Critical Care)
707 SHERIDAN AVE
CODY, WY 82414

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 Kathleen Divincenzo's NPI number?

The NPI number for Kathleen Divincenzo is 1477596989. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Kathleen Divincenzo located?

Kathleen Divincenzo practices at 707 Sheridan Ave, Cody, WY 82414. The listed phone number is (307) 578-2480.

What is Kathleen Divincenzo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathleen Divincenzo enrolled in Medicare?

Yes. Kathleen Divincenzo is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Divincenzo accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Kathleen Divincenzo 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.

When was this NPI record last updated?

The NPPES record for Kathleen Divincenzo was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.