DR. STEPHEN ANDREW COLE M.D.
NPI 1053415570
Family Medicine in Walworth, WI

Q: What is Stephen Cole's NPI number?

The NPI number for Stephen Cole is 1053415570. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Stephen Cole's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Cole was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment

525 KENOSHA ST, SUITE A, WALWORTH, WI 53184(262) 275-2101(262) 275-0752 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Stephen Andrew Cole M.d. NPPES

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

DR. STEPHEN ANDREW COLE M.D. (NPI 1053415570) is an individual family medicine provider in Walworth, Wisconsin, licensed in Wisconsin (61002-20) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1999).

NPPES Registry Identity

NPI1053415570

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STEPHEN ANDREW COLECredential: M.D.

Location Address525 KENOSHA ST, SUITE AWalworth, WI 53184-9512

Mailing Address107 Prairie DrWalworth, WI 53184-9794 · (865) 789-1747

Phone(262) 275-2101

Fax(262) 275-0752

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1999

Enumeration DateSeptember 13, 2006

Last NPPES UpdateAugust 28, 2017

✔ NPI 1053415570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 61002-20

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 61002-20 (WI)

525 KENOSHA ST, Walworth, WI 53184

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Other Identifiers 1

Medicare PIN3734041TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Andrew Cole M.d. 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 ID244397370

PECOS Enrollment IDI20130828000305

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.

Medicare Billing Reassignment

Medicare enrollment records show Stephen Cole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.

50 mi

Internal Medicine

W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
2,294 clinicians in this Medicare group

NPI 1568787448 (262) 255-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

183 services179 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.

45 services45 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

42 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

15 services15 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53184 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 6

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

DR. DALE GARY JACOBSON MD

Family Medicine

525 KENOSHA ST, #A
WALWORTH, WI 53184

Walworth County (262) 275-2101

DR. NATHAN C GILLING D.O.

Family Medicine

525 KENOSHA ST
WALWORTH, WI 53184

Walworth County (262) 275-2101

MEGAN R HOPP NP

Nurse Practitioner (Family)

525 KENOSHA ST, STE A
WALWORTH, WI 53184

Walworth County (262) 275-2101

DR. LINDSEY E TUNTLAND MD

Family Medicine

525 KENOSHA ST
WALWORTH, WI 53184

Walworth County (262) 275-2101

AURORA MEDICAL GROUP, INC.

Durable Medical Equipment & Medical Supplies

525 KENOSHA ST, STE A
WALWORTH, WI 53184

Walworth County (262) 275-2101

AURORA PHARMACY INC

Pharmacy (Clinic Pharmacy)

525 KENOSHA ST, SUITE C
WALWORTH, WI 53184

Walworth County (262) 275-0936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Cole's NPI number?

The NPI number for Stephen Cole is 1053415570. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Stephen Cole located?

Stephen Cole practices at 525 Kenosha St Suite A, Walworth, WI 53184. The listed phone number is (262) 275-2101.

What is Stephen Cole's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Cole enrolled in Medicare?

Yes. Stephen Cole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephen Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Cole reassigns Medicare benefits to Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephen Cole was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.