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DR. KEVIN S. DOUGHERTY D.O.
NPI 1922412279
Emergency Medicine in Cody, WY

Active since June 15, 2014PECOS EnrolledAccepts Medicare Assignment
61.17/100
CMS Quality Rating
707 SHERIDAN AVE, CODY, WY 82414(307) 578-2000 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Dec 17, 2021, Jun 19, 2018 (3 updates tracked since 2018).

About Dr. Kevin S. Dougherty D.o. NPPES

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

DR. KEVIN S. DOUGHERTY D.O. (NPI 1922412279) is an individual emergency medicine provider in Cody, Wyoming, licensed in Wyoming (14756A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922412279
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KEVIN S. DOUGHERTYCredential: D.O.
Location Address707 SHERIDAN AVECody, WY 82414
Mailing Address707 Sheridan AveCody, WY 82414-3409 · (307) 578-2000
Phone(307) 578-2000
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2014
Enumeration DateJune 15, 2014
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1922412279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WY · 14756A✔ Licensed in WI · 68949-21✔ Licensed in MI · 5101021230
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.
707 SHERIDAN AVE, Cody, WY 82414
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Secondary Practice Locations 2

Location 11726 Shawano AveGreen Bay, WI 54303-3216 · Phone (414) 290-6720 · Fax (414) 290-6755
Location 2835 S Van Buren StGreen Bay, WI 54301-3526 · Phone (414) 290-6720 · Fax (414) 290-6755

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.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. Kevin S. Dougherty 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 ID648572651
PECOS Enrollment IDI20180727000887
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
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

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.

GREGORY H CROSS II MD
Radiology (Diagnostic Radiology)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2582
MONIQUE HELENA KEENAN PT, MPT
Physical Therapist
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2452
FRED A SNELSON
Counselor (Addiction (Substance Use Disorder))
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501
LORI TYSON RNFA
Registered Nurse (Registered Nurse First Assistant)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-6293
WEST PARK HOSPITAL HOME HEALTH
Hospice Care, Community Based
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501
STEPHANIE I KNODEL
Emergency Medicine
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2000
MS. SHELLY MARIE GREEN CRNA
Nurse Anesthetist, Certified Registered
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 587-2139
KATHRYN LEE CARTER NP
Nurse Practitioner (Pediatrics, Critical Care)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501

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 Kevin Dougherty's NPI number?

The NPI number for Kevin Dougherty is 1922412279. It was assigned to this individual provider in the NPPES registry on June 15, 2014.

Where is Kevin Dougherty located?

Kevin Dougherty practices at 707 Sheridan Ave, Cody, WY 82414. The listed phone number is (307) 578-2000.

What is Kevin Dougherty's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Dougherty enrolled in Medicare?

Yes. Kevin Dougherty 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 Kevin Dougherty accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Kevin Dougherty 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 Kevin Dougherty affiliated with any hospitals?

According to CMS data, Kevin Dougherty is affiliated with St Vincent Hospital and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Kevin Dougherty was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.