KATHLEEN ANN DIVINCENZO (M.D.) – Internal Medicine Physician, NPI 1477596989

KATHLEEN ANN DIVINCENZO (M.D.) is a healthcare provider. based in Cody, Wyoming. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4494A (WY). The NPI Number for KATHLEEN ANN DIVINCENZO (M.D.) is 1477596989

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN ANN DIVINCENZO (M.D.)
NPI
1477596989
Phone
(307) 578-2480
Address
707 SHERIDAN AVE
Enumeration Date
13 June 2006
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
3075782904
Graduation Year
1987 (39 years ago)
PAC ID
3375525835
Group Practice PAC ID
7315855624
Professional Enrollment ID
I20050210000363
Address ID
WY824149311CO424XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

44 HOSPITALIST in WY

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Provider Addresses for KATHLEEN ANN DIVINCENZO (M.D.)

  • West Park Hospital, 707, Sheridan Avenue, Cody, Park County, Wyoming, 82414, United States

    CODY, WY 82414

    Phone: (307) 578-2480

    Fax: (307) 578-2492

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ICU Medical Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ICU Medical Inc$15
View all Open Payments →|Open Payments Risk Radar →

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: 2005-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050210000363IHospitalistWYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12071$0
99239Hospital discharge day management, more than 30 minutes3030$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 82414)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315855624View full group profile
NameSpecialtyState
General SurgeryWY
-ID
Nurse PractitionerWY
Orthopedic SurgeryWI
-OR
R H E U M A T O L O G YMT
Emergency MedicineWY
Orthopedic SurgeryWY
-WY
Nurse PractitionerCA

Reviews

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Frequently asked questions

What number should I use to identify KATHLEEN ANN DIVINCENZO (M.D.) for billing?
Administrative and clinical systems typically use NPI 1477596989 for KATHLEEN ANN DIVINCENZO (M.D.).
Is KATHLEEN ANN DIVINCENZO (M.D.)'s NPI status active today?
Active status means KATHLEEN ANN DIVINCENZO (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret KATHLEEN ANN DIVINCENZO (M.D.)'s specialty?
The extract shows Internal Medicine Physician for KATHLEEN ANN DIVINCENZO (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHLEEN ANN DIVINCENZO (M.D.)?
KATHLEEN ANN DIVINCENZO (M.D.) is associated with Cody, Wyoming in the same public data insurers reference.
Who maintains KATHLEEN ANN DIVINCENZO (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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