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KODY WYANT D.O
NPI 1568993038
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Green Bay, WI

Active since March 25, 2017PECOS EnrolledAccepts Medicare Assignment
2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8320(920) 288-8325 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 31, 2026, Sep 12, 2024, May 18, 2022 and 1 more (4 updates tracked since 2017).

About Kody Wyant D.o NPPES

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

KODY WYANT D.O (NPI 1568993038) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Green Bay, Wisconsin, licensed in Wisconsin (81429) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568993038
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameKODY WYANTCredential: D.O
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 288-8320
Fax(920) 288-8325
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 25, 2017
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1568993038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in WI · 81429✔ Licensed in IL · 036.159929
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 81429 (WI)
2845 GREENBRIER RD, Green Bay, WI 54311
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (888) 584-7888
Location 28414 Naab RdIndianapolis, IN 46260-1972 · Phone (317) 338-7510

Other Identifiers 1

Medicaid100286255WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Kody Wyant D.o 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 ID840569513
PECOS Enrollment IDI20240830000899
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 Reassignment

Medicare enrollment records show Kody Wyant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Aurora, LLC
Same address
General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group
NPI 1255387726 (920) 288-8000

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 3

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

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520034
Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County
Emergency services Birthing friendly

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

AMRITHA CHANDRAHASA KARKERA M.D.
Internal Medicine (Hematology & Oncology)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
MRS. AMY MACH SCHOENEBECK MS, CGC
Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4180
GERALD WILLIAM ECKARDT MD
Neurological Surgery
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8350
ELLEN LINSKENS PT
Physical Therapist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
KATIE LYNN LLOYD DO
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
BRADLEY JAY FEDDERLY MD
Hospitalist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8100
EDWARD C VOGEL MD
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
JOHN JEROME KLINKHAMMER CRNA
Nurse Anesthetist, Certified Registered
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-3388

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 Kody Wyant's NPI number?

The NPI number for Kody Wyant is 1568993038. It was assigned to this individual provider in the NPPES registry on March 25, 2017.

Where is Kody Wyant located?

Kody Wyant practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8320.

What is Kody Wyant's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Kody Wyant enrolled in Medicare?

Yes. Kody Wyant 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 organization bills Medicare for Kody Wyant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kody Wyant reassigns Medicare benefits to Baycare Aurora, LLC (Green Bay, WI). The 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 Kody Wyant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kody Wyant accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Kody Wyant 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 Kody Wyant affiliated with any hospitals?

According to CMS data, Kody Wyant is affiliated with Aurora Medical Ctr Manitowoc County, Aurora Baycare Medical Ctr and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Kody Wyant was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.