Active NPI
Thomas H Etter, D.O.
- Surgery Physician
- Cody, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9334A
- Practice address
- 424 Yellowstone Ave Ste 250
Cody, WY 82414-9310 - Phone
- (307) 578-2922
- Fax
- (307) 578-2192
- NPI assigned
- Mar 11, 2009
- Last updated
- Apr 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TL2094 | WY | |
| Surgery Physician | 208600000X | 2006003130 | MO | |
| Surgery Physician | 208600000X | 9334A | WY | Primary |
Addresses
Primary practice location
424 Yellowstone Ave Ste 250
Cody, WY 82414-9310
Mailing address
424 Yellowstone Ave Ste 250
Cody, WY 82414-9310
Phone (307) 578-2922
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12740475 | Other | MO | MULTIPLAN |
| 12740475 | Other | MO | PHCS |
| 9847314 | Other | MO | AETNA |
| 28058 | Other | MO | GHP |
| 3032610 | Other | MO | UNITED HEALTHCARE |
| 622086 | Other | MO | ANTHEM BLUECROSS BLUESHIELD |
| 921792 | Other | MO | HEALTHLINK INC |
| 1154562791 | Medicaid | MO | |
| 135178800 | Medicaid | WY |
Other names 1
- Thomas Etter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
424 Yellowstone Ave
Suite 250
Cody, WY 82414-9310
Phone (307) 296-1355
707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501
902 Blackburn St
Cody, WY 82414-8494
Phone (307) 296-1355
Hospital & facility affiliations
- Cody Regional Health
- Powell Valley Hospital
- Hot Springs County Memorial Hospital
- Intermountain Health St Vincent Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.58 of 100
- Quality
- 81.44
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 77.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.79 of 100
- Quality
- 72.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 63.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 81 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 19 |
| Mastectomy | 18 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 95 |
| Melanoma (skin cancer) excision | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL2094 | WY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Etter, LLC | Surgery | Current | Accepting new patients |
| Cody Regional Health EMS | Current | Accepting new patients | |
| Brandi R Shepard LLC | Current | Accepting new patients | |
| Columbia Surgical Associates Inc | Surgery | Past | Accepting new patients |
| West Park Hospital District | Past | Accepting new patients |
Locations
424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903
424 Yellowstone Ave
Ste 250
Cody, WY 82414
Phone (307) 296-1355
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
720 Lindsay Ln
Ste C
Cody, WY 82414
Phone (307) 578-1955
902 Blackburn St
Cody, WY 82414
Phone (307) 296-1355
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Cody, WY
- NPI 1275113706
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
-
- Land Ambulance
- Cody, WY
- NPI 1366432197
-
- Multi-Specialty Clinic/Center
- Cody, WY
- NPI 1477192243
-
- Surgery Physician
- Columbia, MO
- NPI 1457301574
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Thermopolis, WY
- NPI 1861550642
-
- Critical Access Hospital
- Powell, WY
- NPI 1497753115
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
-
dba Intermountain Health St Vincent Regional Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- General Acute Care Hospital
- Billings, MT
- NPI 1396916276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1154562791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 YELLOWSTONE AVE STE 250",
"city": "CODY",
"state": "WY",
"postal_code": "824149310",
"telephone_number": "307-578-2922",
"fax_number": "307-578-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 YELLOWSTONE AVE STE 250",
"city": "CODY",
"state": "WY",
"postal_code": "824149310",
"telephone_number": "307-578-2922",
"fax_number": "307-578-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETTER",
"first_name": "THOMAS",
"middle_name": "H",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-11",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WY",
"license": "TL2094",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2006003130",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WY",
"license": "9334A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12740475",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "12740475",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9847314",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "28058",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3032610",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUECROSS BLUESHIELD",
"identifier": "622086",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK INC",
"identifier": "921792",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154562791",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135178800",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THOMAS",
"last_name": "ETTER",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.