THOMAS H ETTER D.O. NPI 1154562791

NPI Information

  • NPI: 1154562791
  • Provider Name: THOMAS H ETTER, D.O.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 902 BLACKBURN ST
    CODY, WY
    ZIP 82414
  • Phone: (307) 296-1355

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NPI Details

Thomas H Etter, D.O. is a surgery in Cody, WY with 20 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Thomas H Etter, D.O. NPI is 1154562791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2006

The provider's business location address is:

902 BLACKBURN ST
CODY, WY
ZIP 82414-494
Phone: (307) 296-1355
Fax: (307) 586-5464

The NPI 1154562791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Fine needle aspiration biopsy using ultrasound guidance, each additional growth (HCPCS:10006)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Removal of thyroid (HCPCS:60240)
  • Spinal fusion (HCPCS:NAN02)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/11/2009 and was last updated on 8/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryTL2094WYOMINGNo
2208600000XSurgery2006003130MISSOURINo
3208600000XSurgery9334AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
128058OTHERMISSOURIGHP
2921792OTHERMISSOURIHEALTHLINK INC
31154562791MEDICAIDMISSOURI
4622086OTHERMISSOURIANTHEM BLUECROSS BLUESHIELD
59847314OTHERMISSOURIAETNA
612740475OTHERMISSOURIPHCS
712740475OTHERMISSOURIMULTIPLAN
83032610OTHERMISSOURIUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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