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DR. JEFFREY RANDALL COLE M.D.
NPI 1114100559
Surgery in Fort Payne, AL

Active since December 07, 2007PECOS EnrolledAccepts Medicare Assignment
94.04/100
CMS Quality Rating
323 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968(256) 273-4300 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2020, Jul 5, 2019 (2 updates tracked since 2019).

About Dr. Jeffrey Randall Cole M.d. NPPES

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

DR. JEFFREY RANDALL COLE M.D. (NPI 1114100559) is an individual surgery provider in Fort Payne, Alabama, licensed in Alabama (MD31787) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2012).

NPPES Registry Identity

NPI1114100559
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JEFFREY RANDALL COLECredential: M.D.
Location Address323 MEDICAL CENTER DR SWFort Payne, AL 35968-3420
Mailing Address323 Medical Center Dr SwFort Payne, AL 35968-3420 · (256) 273-4300
Phone(256) 273-4300
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2012
Enumeration DateDecember 7, 2007
Last NPPES UpdateMay 28, 20202 updates tracked since enumeration
NPPES CertifiedMay 28, 2020
✔ NPI 1114100559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in AL · MD31787✔ Licensed in KY · 43830✔ Licensed in NC · AN3187956-S48
Definition
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.
323 MEDICAL CENTER DR SW, Fort Payne, AL 35968
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Dr. Jeffrey Randall 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 ID3375791197
PECOS Enrollment IDI20120919000448
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 10

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
66 services35 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.
58 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
56 services41 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
44 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 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.
43 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35968 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

94.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.68
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%168 patients
Breast Cancer Screening
26%274 patients2/55-star benchmark: 93%
Cervical Cancer Screening
0%370 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
37%618 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
70%109 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%85 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%85 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
59%1,824 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
4%288 patients1/55-star benchmark: 100%
HIV Screening
0%817 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%1,054 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,068 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%1,239 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 441 patients
Patients screened: 76% · 441 patients
95%85 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
35%91 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 317 patients
Patients totalRate: 1% · 317 patients
1%317 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

COLE SURGICAL ARTS
Surgery
323 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 273-4300
MAGAN LASHEAL EDWARDS APRN, FNP-C
Nurse Practitioner (Family)
323 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 273-4300
KATHERINE LYNNE HURTT CRNP
Nurse Practitioner (Family)
323 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 844-2911

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 Jeffrey Cole's NPI number?

The NPI number for Jeffrey Cole is 1114100559. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Jeffrey Cole located?

Jeffrey Cole practices at 323 Medical Center Dr SW, Fort Payne, AL 35968. The listed phone number is (256) 273-4300.

What is Jeffrey Cole's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jeffrey Cole enrolled in Medicare?

Yes. Jeffrey 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.

What insurance does Jeffrey Cole accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Jeffrey 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 Jeffrey Cole was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.