DR. WILLIAM HSU KOLE M.D.
NPI 1174587380
Pain Medicine - Interventional Pain Medicine in Sterling Heights, MI

Q: What is William Kole's NPI number?

The NPI number for William Kole is 1174587380. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is William Kole's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for William Kole was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

43401 SCHOENHERR RD, STERLING HEIGHTS, MI 48313(586) 488-3636(554) 445-2800 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2021, Oct 20, 2021, Jul 14, 2016 (3 updates tracked since 2016).

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About Dr. William Hsu Kole M.d. NPPES

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

DR. WILLIAM HSU KOLE M.D. (NPI 1174587380) is an individual interventional pain medicine provider in Sterling Heights, Michigan, licensed in Michigan (4301056051) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1990).

NPPES Registry Identity

NPI1174587380

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. WILLIAM HSU KOLECredential: M.D.

Location Address43401 SCHOENHERR RDSterling Heights, MI 48313-1961

Mailing Address43401 Schoenherr RdSterling Heights, MI 48313-1961 · (586) 488-3636 · Fax (586) 488-3635

Phone(586) 488-3636

Fax(554) 445-2800

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 1990

Enumeration DateApril 14, 2006

Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1174587380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in MI · 4301056051

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

43401 SCHOENHERR RD, Sterling Heights, MI 48313

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Other Identifiers 5

Other050088223Railroad Medicare

Other0E00595MI · Bcbsm Group Number

Other136275400MI · Acs Dept Of Labor

Other0505011422MI · Blue Cross Blue Shield

Medicaid10 4280270MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. William Hsu Kole 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 ID2961493077

PECOS Enrollment IDI20040519000162

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 7

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.

1,865 services229 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

341 services193 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.

179 services99 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

165 services13 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.

66 services38 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

24 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48313 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

94.28

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%421 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%746 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,035 patients

Patients screened: 100% · 1,035 patients

100%333 patients5/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 100% · 943 patients

Patients screened: 100% · 943 patients

100%20 patients

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 12

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

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