JAMES KENNETH COLE M.D.
NPI 1144227471
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Indianapolis, IN

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
1550 E COUNTY LINE RD, SUITE 200, INDIANAPOLIS, IN 46227(317) 497-2130 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jun 13, 2023, Sep 17, 2020 and 1 more (4 updates tracked since 2016).

About James Kenneth Cole M.d. NPPES

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

JAMES KENNETH COLE M.D. (NPI 1144227471) is an individual orthopaedic surgery of the spine provider in Indianapolis, Indiana, licensed in Indiana (01050980A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Major Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (1989).

NPPES Registry Identity

NPI1144227471
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJAMES KENNETH COLECredential: M.D.
Location Address1550 E COUNTY LINE RD, SUITE 200Indianapolis, IN 46227-1000
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1989
Enumeration DateJuly 1, 2005
Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1144227471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in IN · 01050980A
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01050980A (IN)
1550 E COUNTY LINE RD, Indianapolis, IN 46227

Other Identifiers 2

OtherP01424292IN · Rr Medicare
Medicaid200238720IN

Accepted 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

James Kenneth 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 ID7911969001
PECOS Enrollment IDI20041101000682
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 11

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.
75 services61 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.
34 services25 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
32 services19 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.
27 services27 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.
24 services22 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
1 supplier29 claims29 services$490.53 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 8

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

Nurse Practitioner (Family)
1550 E COUNTY LINE RD, STE 300
INDIANAPOLIS, IN 46227
Nurse Practitioner (Obstetrics & Gynecology)
1550 E COUNTY LINE RD, STE 300
INDIANAPOLIS, IN 46227
Orthopaedic Surgery
1550 E COUNTY LINE RD, SUITE 200
INDIANAPOLIS, IN 46227
Internal Medicine (Pulmonary Disease)
1550 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Orthopaedic Surgery (Sports Medicine)
1550 E COUNTY LINE RD, SUITE 200
INDIANAPOLIS, IN 46227
Orthopaedic Surgery
1550 E COUNTY LINE RD, STE 200
INDIANAPOLIS, IN 46227
Surgery (Plastic and Reconstructive Surgery)
1550 E COUNTY LINE RD, SUITE 320
INDIANAPOLIS, IN 46227
Orthopaedic Surgery
1550 E COUNTY LINE RD, STE 200
INDIANAPOLIS, IN 46227

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 James Cole's NPI number?

The NPI number for James Cole is 1144227471. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is James Cole located?

James Cole practices at 1550 E County Line Rd Suite 200, Indianapolis, IN 46227. The listed phone number is (317) 497-2130.

What is James Cole's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is James Cole enrolled in Medicare?

Yes. James 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 James Cole accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list James 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.

Is James Cole affiliated with any hospitals?

According to CMS data, James Cole is affiliated with Major Hospital and Community Hospital South, Inc..

When was this NPI record last updated?

The NPPES record for James Cole was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.