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DR. BENJAMIN T COLE M.D.
NPI 1093005324
Family Medicine in Silverthorne, CO

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
265 TANGLEWOOD LANE, SUITE E-1, SILVERTHORNE, CO 80498(970) 468-1003(970) 262-2196 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Benjamin T Cole M.d. NPPES

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

DR. BENJAMIN T COLE M.D. (NPI 1093005324) is an individual family medicine provider in Silverthorne, Colorado, licensed in Colorado (DR.0052610) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2010).

NPPES Registry Identity

NPI1093005324
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENJAMIN T COLECredential: M.D.
Location Address265 TANGLEWOOD LANE, SUITE E-1Silverthorne, CO 80498
Mailing AddressPo Box 911416Denver, CO 80291-1416 · (970) 468-1003 · Fax (970) 262-2196
Phone(970) 468-1003
Fax(970) 262-2196
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2010
Enumeration DateApril 7, 2011
Last NPPES UpdateJuly 7, 2014
✔ NPI 1093005324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · DR.0052610
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.
265 TANGLEWOOD LANE, Silverthorne, CO 80498
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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

Dr. Benjamin T 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 ID7315248374
PECOS Enrollment IDI20151216000469
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 5

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 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.
242 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
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.
36 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80498 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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
6 suppliers14 claims34 services$5.68 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers13 claims13 services$37.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers19 claims19 services$83.64 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers18 claims48 services$28.53 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$15.80 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$9.62 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 5

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

HIGH COUNTY HEALTH CARE PC
Durable Medical Equipment & Medical Supplies
265 TANGLEWOOD LANE, SUITE E1
SLIVERTHORNE, CO 80498
Summit County (800) 683-9930
ERIN SAIN D.D.S.
Dentist (General Practice)
265 TANGLEWOOD LANE, UNIT W-1
SILVERTHORNE, CO 80498
Summit County (970) 368-6091
KIRSTEN BUCK GOBLE D.O.
Family Medicine
265 TANGLEWOOD LANE, SUITE E-1
SILVERTHORNE, CO 80498
Summit County (970) 468-1003
JAI PITRE LCSW
Social Worker (Clinical)
265 TANGLEWOOD LANE, STE W-3
SILVERTHORNE, CO 80498
Summit County (970) 468-1003
HIGH COUNTRY HEALTH CARE PC
Family Medicine
265 TANGLEWOOD LANE, STE. W-3
SILVERTHORNE, CO 80498
Summit County (970) 668-1791

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 Benjamin Cole's NPI number?

The NPI number for Benjamin Cole is 1093005324. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Benjamin Cole located?

Benjamin Cole practices at 265 Tanglewood Lane Suite E-1, Silverthorne, CO 80498. The listed phone number is (970) 468-1003.

What is Benjamin Cole's specialty?

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

Is Benjamin Cole enrolled in Medicare?

Yes. Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Cole was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.