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Active NPI 1215100839 Individual Practitioner Female Practitioner

Dr. Kathryn Olsen Cockerham , MD

Emergency Medicine • Roosevelt, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Cockerham, MD is a certified Emergency Medicine practicing in Roosevelt, UT. With approximately 20 years of clinical experience since graduating from University Of Utah School Of Medicine in 2006, Dr. Cockerham delivers high-quality medical care to the local community at 250 W 300 N.

Dr. Cockerham is affiliated with St Johns Lutheran Hospital Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

250 W 300 N

Roosevelt, UT 840662336

Telephone 8017224691
Associated Practice Facility / Clinic
🏢 Uintah Basin Medical Center Facility NPI 1871556217

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Roosevelt, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +3.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Roosevelt, UT (514 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cockerham (20 Years) 20 Yrs
Roosevelt Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-09
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License UT 338161-1205

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MT MED-PHYS-LIC-33350

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

St Johns Lutheran Hospital Inc

209 Health Park Dr, Libby, MT 599232001

Phone: 4062837000

Secondary Practice Locations

6 13th Ave E

Polson, MT 598605315

Phone: 4068835680

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003010927

Registered Nurse, Bachelor of Science in Nursing, LCCE

Shawn Hawkins

Physical Therapist

NPI 1023071511
NPI 1093004202

Doctor of Medicine (M.D.)

Royce Porter

Occupational Therapist

NPI 1093106759
NPI 1124149638

Registered Pharmacist

Dr. Larry Stevens , MD

Radiology - Body Imaging

NPI 1134182132

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2025

Emergency Medicine (License #MED-PHYS-LIC-33350 in MT)

NPI Profile Active November 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2009

Registered at 250 W 300 N, ROOSEVELT, UT 840662336 (Tel: 8017224691)

📍
Updated Business Mailing Address November 02, 2009

Registered at 250 W 300 N, ROOSEVELT, UT 840662336

👤
Provider Name / Credentials Updated November 02, 2009

Recorded as KATHRYN COCKERHAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2009

Emergency Medicine (License #338161-1205 in UT)

🟢
Initial NPI Registration & Enumeration April 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215100839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2008
Last Update: December 09, 2025
Sole Proprietor: Yes

Mailing Address

250 W 300 N

Roosevelt, UT 840662336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.