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DR. COLE ANDERSON D.M.D.,M.S.
NPI 1316175458
Dentist - General Practice in Urbana, IL

Active since June 28, 2009PECOS EnrolledAccepts Medicare Assignment
602 W UNIVERSITY AVE, URBANA, IL 61801(217) 383-3280(217) 383-7071 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cole Anderson D.m.d.,m.s. NPPES

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

DR. COLE ANDERSON D.M.D.,M.S. (NPI 1316175458) is an individual general practice provider in Urbana, Illinois, licensed in Illinois (019.028186) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of University Of Louisville School Of Medicine (2008).

NPPES Registry Identity

NPI1316175458
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. COLE ANDERSONCredential: D.M.D.,M.S.
Location Address602 W UNIVERSITY AVEUrbana, IL 61801-2530
Mailing Address602 W University AveUrbana, IL 61801-2530 · (217) 383-3280 · Fax (217) 383-7071
Phone(217) 383-3280
Fax(217) 383-7071
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2008
Enumeration DateJune 28, 2009
Last NPPES UpdateFebruary 16, 2010
✔ NPI 1316175458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.028186
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 018.001699 (IL)
602 W UNIVERSITY AVE, Urbana, IL 61801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Cole Anderson D.m.d.,m.s. 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 ID6507017308
PECOS Enrollment IDI20121102000343
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

ROBERT W. KIRBY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
602 W UNIVERSITY AVE
URBANA, IL 61801
Champaign County (217) 383-3311
DELBERT CRAIG KLUMP M.D.
Anesthesiology
602 W UNIVERSITY AVE
URBANA, IL 61801
Champaign County (217) 383-3311
WALGREEN CO
Pharmacy
602 W UNIVERSITY AVE
URBANA, IL 61801
Champaign County (217) 344-9148
STEPHANIE ALMAROAD APRN, CRNA
Nurse Anesthetist, Certified Registered
602 W UNIVERSITY AVE
URBANA, IL 61801
Champaign County (217) 383-3303
MS. JO LYNNE CLAUSON RPH
Pharmacist
602 W UNIVERSITY AVE
URBANA, IL 61801
Champaign County (217) 383-4516
MS. JUDITH LYNCH MILLER M.S.
Genetic Counselor, MS
602 W UNIVERSITY AVE, MEDICAL GENETICS / SC5
URBANA, IL 61801
Champaign County (217) 383-5084
MARILYN PRASUN C.N.S.
Clinical Nurse Specialist
602 W UNIVERSITY AVE
URBANA, IL 61801
Champaign County (217) 383-3311
DR. FRANK ANTHONY SARACCO PHARMD
Pharmacist
602 W UNIVERSITY AVE
URBANA, IL 61801
Champaign County (217) 383-3250

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 Cole Anderson's NPI number?

The NPI number for Cole Anderson is 1316175458. It was assigned to this individual provider in the NPPES registry on June 28, 2009.

Where is Cole Anderson located?

Cole Anderson practices at 602 W University Ave, Urbana, IL 61801. The listed phone number is (217) 383-3280.

What is Cole Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Cole Anderson enrolled in Medicare?

Yes. Cole Anderson 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 Cole Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Cole Anderson 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 Cole Anderson affiliated with any hospitals?

According to CMS data, Cole Anderson is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Cole Anderson was last updated on February 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.