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DR. KELLY K. COLE M.D.
NPI 1124092234
Internal Medicine - Rheumatology in Lexington, KY

Active since February 15, 2006PECOS Enrolled
91.02/100
CMS Quality Rating
330 WALLER AVE, SUITE 100, LEXINGTON, KY 40504(859) 254-7000(859) 255-4381 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelly K. Cole M.d. NPPES

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

DR. KELLY K. COLE M.D. (NPI 1124092234) is an individual rheumatology provider in Lexington, Kentucky, licensed in Kentucky (25949) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124092234
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. KELLY K. COLECredential: M.D.
Location Address330 WALLER AVE, SUITE 100Lexington, KY 40504-2931
Mailing Address330 Waller Ave, Suite 100Lexington, KY 40504-2931 · (859) 254-7000 · Fax (859) 255-4381
Phone(859) 254-7000
Fax(859) 255-4381
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJune 2, 2016
✔ NPI 1124092234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in KY · 25949
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

330 WALLER AVE, Lexington, KY 40504
Open in Google Maps ↗

Other Identifiers 4

Medicaid64259492KY
Other3937Medicare Group Number
Medicare PIN0393703KY
Medicare UPINC78305KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly K. 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.

Areas of Expertise CMS Part B claims 6

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.
252 services218 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.
94 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services37 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
28 services23 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
13 services13 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

91.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.86
Improvement Activities40
Cost91.58

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.

ALEXANDER D BROWN MD
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
DR. COREY MICHAEL HATFIELD D.O.
Internal Medicine (Rheumatology)
330 WALLER AVE, STE. 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
JEFFREY S. NEAL M.D.
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
ARTHRITIS CENTER OF LEXINGTON
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
DANIEL JOSEPH RYAN DPT
Physical Therapist
330 WALLER AVE
LEXINGTON, KY 40504
Fayette County (859) 447-8600

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 Kelly Cole's NPI number?

The NPI number for Kelly Cole is 1124092234. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Kelly Cole located?

Kelly Cole practices at 330 Waller Ave Suite 100, Lexington, KY 40504. The listed phone number is (859) 254-7000.

What is Kelly Cole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kelly Cole enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Cole was last updated on June 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.