Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Kevin S. Dougherty, DO

Individual provider Emergency Medicine Physician · NPI 1922412279

Dr. Kevin S. Dougherty, DO practises Emergency Medicine in Cody, Wyoming. Graduated from Rocky Vista University College of Osteopathic Med in 2014, 12 years ago. Practices with Vituity-Wisconsin Em SC, a 57-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan, Wisconsin and Wyoming.

Years since qualifying
12
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
MI, WI, WY
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

707 Sheridan Ave
Cody, WY 82414
Phone: (307) 578-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 835 S Van Buren St, Green Bay, WI 54301-3526 — (414) 290-6720
  • 1726 Shawano Ave, Green Bay, WI 54303-3216 — (414) 290-6720

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 14756A (WY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 68949-21 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101021230 (MI)

Record details

NPI number1922412279
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 15, 2014
Last updated in NPPESJune 28, 2024
Certification dateApril 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2014 (12 years in practice)
Group practice Vituity-Wisconsin Em Sc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients36
Services billed 46 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Cody Regional Health Hospital · Cody, WY · listed as Cody Regional Health EMS
  • St Vincent Hospital Hospital · Green Bay, WI

Colleagues at Vituity-Wisconsin Em SC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 57 clinicians in the practice; 12 are shown here.

Other providers in Cody