ADAM ISAAC COLE MD
NPI 1306295845
Urology in New Hyde Park, NY

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 734-8500 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2021, Jun 29, 2017 (2 updates tracked since 2017).

About Adam Isaac Cole Md NPPES

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

ADAM ISAAC COLE MD (NPI 1306295845) is an individual urology provider in New Hyde Park, New York, licensed in New York (309270) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of University Of Michigan Medical School (2016).

NPPES Registry Identity

NPI1306295845
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameADAM ISAAC COLECredential: MD
Location Address450 LAKEVILLE RDNew Hyde Park, NY 11042-1118
Mailing Address450 Lakeville RdNew Hyde Park, NY 11042-1118
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1306295845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 309270
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301109838 (MI)
450 LAKEVILLE RD, New Hyde Park, NY 11042

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

Adam Isaac Cole Md 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 ID6901196401
PECOS Enrollment IDI20210923003248
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 12

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.
209 services155 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.
182 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services41 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.
75 services75 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
54 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services43 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Internal Medicine (Hematology & Oncology)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Pharmacist
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042
Nurse Practitioner (Adult Health)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

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 Adam Cole's NPI number?

The NPI number for Adam Cole is 1306295845. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Adam Cole located?

Adam Cole practices at 450 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 734-8500.

What is Adam Cole's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Adam Cole enrolled in Medicare?

Yes. Adam 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.

Is Adam Cole affiliated with any hospitals?

According to CMS data, Adam Cole is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Cole was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.