DR. AMY T KENWORTHY (MD) – Emergency Medicine Physician, NPI 1346335254
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 EMERGENCY MEDICINE in WY
Provider Addresses for DR. AMY T KENWORTHY (MD)
83 Deer Valley Dr
Lander, WY 825209780
Phone: (307) 335-8248
Type: Location
83 DEER VALLEY DR
LANDER, WY 825209780
Phone: (307) 335-8248
Type: Mailing
1005, College View Drive, Riverton, Fremont County, Wyoming, 82501, United States
RIVERTON, WY 825012266
Phone: (307) 857-5280
Fax: (307) 857-5215
Type: Mailing
ThedaCare Medical Center, 1405, Mill Street, New London, Outagamie County, Wisconsin, 54961, United States
NEW LONDON, WI 549612155
Phone: (920) 531-2000
Fax: (920) 531-2098
Type: Location
800 RIVERSIDE DR
WAUPACA, WI 549811943
Phone: (715) 258-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040721000006 | I | Internal Medicine | WY | TBD |
| I20171019001611 | I | Emergency Medicine | IL | TBD |
| I20190122003354 | I | Family Practice | WI | TBD |
| I20221201000628 | I | Internal Medicine | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 145 | 136 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 135 | 133 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 73 | 72 | $0 |
Insurance plans in this area (ZIP 82520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Pediatric Medicine | IA | |
| Nurse Practitioner | IL | |
| - | IL | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | WI | |
| Neurology, Psychiatry | IN | |
| Internal Medicine | MI | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL |
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