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SCOTT A COLE M.D.
NPI 1053438069
Family Medicine in Chicago, IL

Active since March 23, 2007PECOS Enrolled
1030 W CHICAGO AVE, CHICAGO, IL 60622(312) 243-1574(312) 243-1698 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scott A Cole M.d. NPPES

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

SCOTT A COLE M.D. (NPI 1053438069) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-106164) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053438069
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT A COLECredential: M.D.
Location Address1030 W CHICAGO AVEChicago, IL 60622-5671
Mailing Address1030 W Chicago AveChicago, IL 60622-5671 · (312) 243-1574 · Fax (312) 243-1698
Phone(312) 243-1574
Fax(312) 243-1698
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateMay 27, 2009
✔ NPI 1053438069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-106164
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.
1030 W CHICAGO AVE, Chicago, IL 60622
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Other Identifiers 2

Medicare UPINIL1742006IL
Medicare PINIL1742IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott A Cole M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

5

Medicare enrollment records show Scott Cole reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Current Care P.A.
48 mi
Urgent Care
6302 75TH ST
Kenosha, WI 53142
  • Reassigned Medicare billing, Wisconsin and Indiana enrollments
  • Medicare enrollment name: American Current Care PA
  • Also billed through NPI 1013194455 (Indiana)
  • 26 clinicians in this Medicare group
NPI 1275159147 (262) 771-0770
American Current Care Of Illinois PC
796 mi
Urgent Care
5080 SPECTRUM DR, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
NPI 1285071241 (972) 720-7772
American Current Care Of Washington, P.S.
796 mi
Urgent Care
5080 SPECTRUM DR STE 1200W
Addison, TX 75001
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: American Current Care Of Washington Ps
  • 31 clinicians in this Medicare group
NPI 1962984492 (972) 364-8000
American Current Care Of Minnesota PC
796 mi
Urgent Care
5080 SPECTRUM DR STE 1200W
Addison, TX 75001
  • Reassigned Medicare billing, Minnesota enrollment
  • 18 clinicians in this Medicare group
NPI 1548749286 (972) 364-8000
American Current Care Of Arizona PA
1,452 mi
Urgent Care
1818 E SKY HARBOR CIR N, BUILDING 2, SUITE 150
Phoenix, AZ 85034
  • Reassigned Medicare billing, Arizona enrollment
  • 43 clinicians in this Medicare group
NPI 1780873307 (602) 244-9500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

JASON ADAM WENTWORTH PT
Physical Therapist
1030 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (312) 243-1574

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 Scott Cole's NPI number?

The NPI number for Scott Cole is 1053438069. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Scott Cole located?

Scott Cole practices at 1030 W Chicago Ave, Chicago, IL 60622. The listed phone number is (312) 243-1574.

What is Scott Cole's specialty?

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

Is Scott Cole enrolled in Medicare?

Yes. Scott Cole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Cole reassigns Medicare benefits to 5 organizations: American Current Care P.A. (Kenosha, WI), American Current Care Of Illinois PC (Addison, TX), American Current Care Of Washington, P.S. (Addison, TX), American Current Care Of Minnesota PC (Addison, TX) and American Current Care Of Arizona PA (Phoenix, AZ). Each 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 Scott Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Cole accept?

Health plans from CareSource, Moda Health Plan, Inc., Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 7 other insurers list Scott Cole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Cole was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.