ERIC L. COLE MD
NPI 1013968478
Family Medicine in Spartanburg, SC

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
99.84/100
CMS Quality Rating
1690 SKYLYN DR STE 300A, SPARTANBURG, SC 29307(864) 342-4000(864) 596-7409 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2020, Mar 13, 2019, Aug 1, 2018 (3 updates tracked since 2018).

About Eric L. Cole Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC L. COLE MD (NPI 1013968478) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (26428) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1013968478
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC L. COLECredential: MD
Location Address1690 SKYLYN DR STE 300ASpartanburg, SC 29307-1022
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 596-7409
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2003
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 14, 20203 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1013968478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 26428
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1690 SKYLYN DR STE 300A, Spartanburg, SC 29307

Secondary Practice Location 1

Location 1130 Dillon DrSpartanburg, SC 29307-1018 · Phone (864) 216-4620 · Fax (864) 585-2488

Other Identifiers 3

OtherAA11015019SC · Medicare Pin
MedicaidLL4697SC
OtherP00386810GA · Medicare Railroad Ptan#

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eric L. Cole Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547285884
PECOS Enrollment IDI20051006000149
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 68

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,681 services596 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,504 services585 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,441 services558 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,423 services583 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,294 services516 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
1,175 services563 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.68
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers46 claims117 services$6.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers15 claims24 services$1.17 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers20 claims20 services$47.26 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$22.90 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
3 suppliers21 claims21 services$36.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers13 claims13 services$181.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307
Nurse Practitioner (Family)
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307
Family Medicine
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307
Family Medicine
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307
Family Medicine
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307
Family Medicine
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307
Family Medicine
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307
Nurse Practitioner (Gerontology)
1690 SKYLYN DR STE 300A
SPARTANBURG, SC 29307

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013968478, enumerated as an "individual" on May 12, 2006.

The provider is located at 1690 SKYLYN DR STE 300A SPARTANBURG, SC 29307 and the phone number is (864) 342-4000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Eric Cole is affiliated with: SPARTANBURG MEDICAL CENTER, CHEROKEE MEDICAL CENTER, PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL, PELHAM MEDICAL CENTER and UNION MEDICAL CENTER.