DIANE ELAINE COLES PA-C
NPI 1457759276
Physician Assistant in Urbana, IL

Active since December 10, 2014PECOS EnrolledAccepts Medicare Assignment
611 W PARK ST, URBANA, IL 61801(217) 383-3129(217) 326-1550 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2021, Dec 18, 2020 (2 updates tracked since 2020).

About Diane Elaine Coles Pa-c NPPES

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

DIANE ELAINE COLES PA-C (NPI 1457759276) is an individual physician assistant in Urbana, Illinois, licensed in Illinois (085007740) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457759276
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDIANE ELAINE COLESCredential: PA-C
Location Address611 W PARK STUrbana, IL 61801-2529
Mailing Address611 W Park St, FapcUrbana, IL 61801 · (217) 902-5292
Fax(217) 326-1550
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 10, 2014
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1457759276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IL · 085007740 Licensed in NC · 0010-05357 Licensed in MI · 5601007645
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

611 W PARK ST, Urbana, IL 61801

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

Diane Elaine Coles Pa-c 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 ID3971820689
PECOS Enrollment IDI20210110000015
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
295 services166 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services46 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.
35 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign 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.

Nurse Practitioner (Neonatal)
611 W PARK ST
URBANA, IL 61801
Emergency Medicine
611 W PARK ST
URBANA, IL 61801
Emergency Medicine
611 W PARK ST
URBANA, IL 61801
Internal Medicine
611 W PARK ST
URBANA, IL 61801
Physician Assistant
611 W PARK ST
URBANA, IL 61801
Clinical Nurse Specialist
611 W PARK ST
URBANA, IL 61801
Registered Nurse (Critical Care Medicine)
611 W PARK ST
URBANA, IL 61801
Pharmacy
611 W PARK ST
URBANA, IL 61801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457759276, enumerated as an "individual" on December 10, 2014.

The provider is located at 611 W PARK ST URBANA, IL 61801 and the phone number is (217) 383-3129.

Physician Assistant with taxonomy code 363A00000X.

Diane Coles is affiliated with: CARLE FOUNDATION HOSPITAL.