Active NPI 1154562791 Individual Practitioner Male Practitioner

Dr. Thomas H Etter , DO

Surgery • Cody, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Etter, DO is a certified Surgery practicing in Cody, WY. With approximately 20 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2006, Dr. Etter delivers high-quality medical care to the local community at 424 YELLOWSTONE AVE STE 250.

Dr. Etter is affiliated with West Park Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, established patient outpatient office visit, ultrasound of head and neck. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

424 Yellowstone Ave Ste 250

Cody, WY 824149310

Telephone 3075782922

Fax 3075782192

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cody, WY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -2.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Cody, WY (74 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Etter (20 Years) 20 Yrs

Cody Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	134	133	$1198.44	$90.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	127	112	$546.06	$171.03
76536 Ultrasound of head and neck	103	95	$357.18	$106.36
45380 Biopsy of large bowel using an endoscope	102	102	$1377.93	$185.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	84	84	$667.92	$213.67
76641 Complete ultrasound scan of 1 breast	81	63	$333.81	$107.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	54	54	$1065.67	$162.29
10005 Fine needle aspiration of first lesion using ultrasound guidance	52	51	$415.17	$129.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$391.26	$124.87
43249 Balloon dilation of esophagus using an endoscope	21	15	$3601.05	$136.54
49650 Repair of groin hernia using an endoscope	17	17	$1390.82	$421.82
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$3323.79	$301.59
47562 Removal of gallbladder using an endoscope	15	15	$2003.31	$627.42
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	14	14	$183.63	$57.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$505.95	$162.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$318.93	$16.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	137	130	$1198.44	$100.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	80	$546.06	$173.55
45380 Biopsy of large bowel using an endoscope	91	91	$1377.93	$189.20
76641 Complete ultrasound scan of 1 breast	85	66	$325.77	$119.82
76536 Ultrasound of head and neck	79	69	$357.18	$110.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	78	78	$667.92	$212.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	40	$1065.69	$171.86
10005 Fine needle aspiration of first lesion using ultrasound guidance	33	33	$415.17	$130.48
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	26	25	$318.93	$17.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	25	$3323.79	$314.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$391.26	$125.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$505.95	$163.32
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	17	17	$183.63	$59.01
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	15	15	$1762.71	$504.57
49650 Repair of groin hernia using an endoscope	15	15	$1313.55	$450.97
43249 Balloon dilation of esophagus using an endoscope	15	13	$3601.05	$140.57
19301 Partial removal of breast	13	12	$1999.92	$643.01
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1334.31	$286.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	148	140	$1706.05	$99.46
45380 Biopsy of large bowel using an endoscope	91	91	$2111.92	$194.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	78	$647.97	$176.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	73	73	$952.43	$218.43
76641 Complete ultrasound scan of 1 breast	71	55	$448.19	$113.33
76536 Ultrasound of head and neck	64	61	$480.75	$113.32
10005 Fine needle aspiration of first lesion using ultrasound guidance	29	29	$595.47	$137.47
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$1556.82	$177.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$521.94	$127.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	17	$413.35	$18.34
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	16	$4918.39	$331.91
49650 Repair of groin hernia using an endoscope	17	17	$1755.79	$461.04
43249 Balloon dilation of esophagus using an endoscope	16	14	$4644.23	$120.97
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	15	15	$285.39	$60.46
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	12	$2050.64	$530.79
47562 Removal of gallbladder using an endoscope	13	13	$3402.32	$611.19
60240 Removal of thyroid	12	12	$6284.86	$904.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	120	115	$1875.25	$109.88
45380 Biopsy of large bowel using an endoscope	86	86	$2405.52	$175.92
76536 Ultrasound of head and neck	80	74	$541.10	$119.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	64	$703.40	$180.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	63	63	$1038.80	$220.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	48	$565.50	$130.73
76641 Complete ultrasound scan of 1 breast	42	37	$527.90	$116.00
10005 Fine needle aspiration of first lesion using ultrasound guidance	41	40	$676.60	$137.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$789.90	$169.07
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	29	23	$322.40	$61.36
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	27	$432.23	$18.27
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	26	$5131.00	$323.64
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	25	25	$176.58	$5.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	17	$1775.10	$179.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$627.53	$135.27
47562 Removal of gallbladder using an endoscope	15	15	$5034.50	$624.95
49650 Repair of groin hernia using an endoscope	12	12	$2148.90	$429.85
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$5929.43	$728.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$2149.70	$255.69
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$17902.10	$965.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	94	89	$1658.88	$110.77
45380 Biopsy of large bowel using an endoscope	72	72	$2243.61	$195.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	56	$368.00	$109.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$623.11	$162.43
76536 Ultrasound of head and neck	56	50	$541.10	$116.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	35	$586.94	$141.36
10005 Fine needle aspiration of first lesion using ultrasound guidance	32	32	$603.41	$120.30
76641 Complete ultrasound scan of 1 breast	27	23	$527.90	$107.78
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	18	17	$289.33	$58.03
49650 Repair of groin hernia using an endoscope	16	16	$2417.51	$447.79
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$312.06	$71.64
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$17902.10	$995.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$434.96	$109.87
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$6832.38	$1606.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1775.10	$164.52
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$5034.50	$679.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	121	$226.20	$106.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	89	85	$1442.50	$111.14
45380 Biopsy of large bowel using an endoscope	78	78	$1850.40	$185.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$372.70	$163.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	43	$322.40	$145.11
36415 Insertion of needle into vein for collection of blood sample	42	38	$24.00	$2.87
76536 Ultrasound of head and neck	40	36	$541.10	$115.13
10005 Fine needle aspiration of first lesion using ultrasound guidance	28	28	$520.46	$126.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$486.30	$205.36
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$148.60	$73.87
49650 Repair of groin hernia using an endoscope	17	17	$2275.31	$382.72
76641 Complete ultrasound scan of 1 breast	16	16	$527.90	$107.01
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	14	$2932.00	$284.51
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	14	14	$248.00	$60.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$243.70	$107.69
47562 Removal of gallbladder using an endoscope	12	12	$4561.10	$666.03
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$5034.50	$663.87
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$17902.10	$969.86
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$101.70	$17.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	97	94	$1418.25	$104.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	83	$222.28	$105.08
45380 Biopsy of large bowel using an endoscope	75	74	$1820.93	$196.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$365.84	$157.89
36415 Insertion of needle into vein for collection of blood sample	47	43	$23.49	$2.88
10022 Fine needle aspiration using imaging guidance	35	23	$538.29	$130.32
76536 Ultrasound of head and neck	34	29	$530.88	$114.06
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$146.32	$72.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$315.89	$144.16
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	23	$555.41	$55.07
49650 Repair of groin hernia using an endoscope	16	16	$2201.71	$378.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$240.42	$107.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$475.38	$206.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$380.71	$136.40
76641 Complete ultrasound scan of 1 breast	11	11	$520.90	$108.23
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$5846.84	$1416.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2900.95	$336.49
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$17917.92	$970.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	91	$219.60	$105.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	82	78	$1404.77	$97.00
45380 Biopsy of large bowel using an endoscope	64	64	$1803.52	$177.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$361.80	$163.25
36415 Insertion of needle into vein for collection of blood sample	46	45	$23.30	$2.94
10022 Fine needle aspiration using imaging guidance	29	17	$532.80	$141.59
76536 Ultrasound of head and neck	28	26	$525.30	$112.93
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$148.50	$73.00
76641 Complete ultrasound scan of 1 breast	20	17	$512.50	$107.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$550.60	$60.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$236.60	$108.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$2087.10	$265.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$376.60	$127.22
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1723.40	$174.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$313.00	$144.35

Medical Specialties & State Licenses

CMS Verified: 2026-04-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WY 9334A

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License WY TL2094

Surgery

NUCC Taxonomy Code: 208600000X

State License MO 2006003130

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1154562791 (MO)

Medicaid State Provider ID

135178800 (WY)

Commercial Insurance / Payer ID Healthlink Inc

921792 (MO)

Commercial Insurance / Payer ID Aetna

9847314 (MO)

Commercial Insurance / Payer ID Ghp

28058 (MO)

Commercial Insurance / Payer ID Anthem Bluecross Blueshield

622086 (MO)

Commercial Insurance / Payer ID Multiplan

12740475 (MO)

Commercial Insurance / Payer ID Phcs

12740475 (MO)

Commercial Insurance / Payer ID United Healthcare

3032610 (MO)

Hospital & Practice Group Affiliations

West Park Hospital District

707 Sheridan Ave, Cody, WY 824143409

Phone: 3075277501

Career & Practice History Timeline

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

19 Historical Events

📍

Updated Practice Location April 17, 2026

Registered at 424 YELLOWSTONE AVE STE 250, CODY, WY 824149310 (Tel: 3075782922)

📍

Updated Business Mailing Address April 17, 2026

Registered at 424 YELLOWSTONE AVE STE 250, CODY, WY 824149310 (Tel: 3075782922)

📍

Updated Practice Location August 10, 2022

Registered at 902 BLACKBURN ST, CODY, WY 824148494 (Tel: 3072961355)

📍

Updated Business Mailing Address August 10, 2022

Registered at 902 BLACKBURN ST, CODY, WY 824148494 (Tel: 3072961355)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Surgery (License #TL2094 in WY)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2022

Surgery (License #2006003130 in MO)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2022

Surgery (License #TL2094 in WY)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Surgery (License #9334A in WY)

📍

Updated Practice Location June 04, 2020

Registered at 424 YELLOWSTONE AVE STE 310, CODY, WY 824149310 (Tel: 3075782976)

📍

Updated Business Mailing Address June 04, 2020

Registered at 424 YELLOWSTONE AVE STE 310, CODY, WY 824149310 (Tel: 3075865300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2020

Surgery (License #2006003130 in MO)

📍

Updated Practice Location January 30, 2020

Registered at 3030 BIG HORN AVE, CODY, WY 824149208 (Tel: 3075781955)

📍

Updated Business Mailing Address January 30, 2020

Registered at 3030 BIG HORN AVE, CODY, WY 824149208 (Tel: 3075781955)

✅

NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 16, 2016

Registered at 720 LINDSAY LN, STE C, CODY, WY 824144103 (Tel: 3075781955)

📍

Updated Business Mailing Address August 16, 2016

Registered at 720 LINDSAY LN, # C, CODY, WY 824144103 (Tel: 3075781955)

👤

Provider Name / Credentials Updated August 16, 2016

Recorded as THOMAS ETTER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

Surgery (License #9334A in WY)

🟢

Initial NPI Registration & Enumeration March 11, 2009

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: 1154562791

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 11, 2009

Last Update: April 17, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

424 Yellowstone Ave Ste 250

Cody, WY 824149310

Phone: 3075782922

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.