BRIAN A. COLE MD
NPI 1518943380
Radiology - Diagnostic Radiology in Neenah, WI

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
325 N COMMERCIAL ST, NEENAH, WI 54956(920) 722-1583(920) 722-7454 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Brian A. Cole Md NPPES

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

BRIAN A. COLE MD (NPI 1518943380) is an individual diagnostic radiology provider in Neenah, Wisconsin, licensed in Wisconsin (43312) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Broadlawns Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1998).

NPPES Registry Identity

NPI1518943380
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBRIAN A. COLECredential: MD
Location Address325 N COMMERCIAL STNeenah, WI 54956-2665
Mailing Address325 N Commercial StNeenah, WI 54956-2665 · (920) 722-1583 · Fax (920) 722-7454
Fax(920) 722-7454
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1998
Enumeration DateDecember 22, 2005
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1518943380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 43312
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
325 N COMMERCIAL ST, Neenah, WI 54956

Other Identifiers 4

Medicare UPINH06757
Medicaid34682900WI
Medicare ID-Type Unspecified006269060
Medicare ID-Type Unspecified006171271

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian A. 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 ID7517941867
PECOS Enrollment IDI20051026000099, I20250905001851
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Brian Cole reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
333 N COMMERCIAL ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 84 clinicians in this Medicare group
Critical Access
404 JEFFERSON ST
Pella, IA 50219
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1053369405 (Iowa)
  • 117 clinicians in this Medicare group
Orthopaedic Surgery
500 JEFFERSON ST
Pella, IA 50219
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Iowa Orthopaedic Center PC
  • 69 clinicians in this Medicare group
General Acute Care Hospital
1801 HICKMAN RD
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
Diagnostic Radiology
7601 OFFICE PLAZA DRIVE N, UNIT 115
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa and Wisconsin enrollments
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
95 services90 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
74 services71 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
65 services63 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
42 services42 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
39 services38 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
35 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160101
Location1801 Hickman RoadDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Compass Memorial Healthcare

Critical Access Hospitals · Marengo, IA
OwnershipGovernment - Local
CMS Certification Number161317
Location300 W May StMarengo, IA 52301 · Iowa County
Emergency services

Wayne County Hospital

Critical Access Hospitals · Corydon, IA
OwnershipGovernment - Local
CMS Certification Number161358
Location417 South East StreetCorydon, IA 50060 · Wayne County
Emergency services

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
93%537 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%118 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
94%33 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 20

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

Radiology (Diagnostic Radiology)
325 N COMMERCIAL ST
NEENAH, WI 54956
Radiology (Diagnostic Radiology)
325 N COMMERCIAL ST
NEENAH, WI 54956
Radiology (Diagnostic Radiology)
325 N COMMERCIAL ST
NEENAH, WI 54956
Radiology (Diagnostic Radiology)
325 N COMMERCIAL ST
NEENAH, WI 54956
Radiology (Diagnostic Radiology)
325 N COMMERCIAL ST
NEENAH, WI 54956
Counselor (Mental Health)
325 N COMMERCIAL ST
NEENAH, WI 54956
Radiology (Diagnostic Radiology)
325 N COMMERCIAL ST
NEENAH, WI 54956
Radiology (Diagnostic Radiology)
325 N COMMERCIAL ST
NEENAH, WI 54956

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 Brian Cole's NPI number?

The NPI number for Brian Cole is 1518943380. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Brian Cole located?

Brian Cole practices at 325 N Commercial St, Neenah, WI 54956. The listed phone number is (920) 722-1583.

What is Brian Cole's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Brian Cole enrolled in Medicare?

Yes. Brian 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.

Which organizations bill Medicare for Brian Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Cole reassigns Medicare benefits to 5 organizations: Radiology Associates Of The Fox Valley, Sc (Neenah, WI), Pella Regional Health Center (Pella, IA), Iowa Orthopaedic Center, P.C. (Pella, IA), Broadlawns Medical Center (Des Moines, IA) and Innovative Radiology, LLC (West Des Moines, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Cole accept?

Health plans from Medica, Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Brian 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 Brian Cole affiliated with any hospitals?

According to CMS data, Brian Cole is affiliated with Broadlawns Medical Center, Compass Memorial Healthcare, Wayne County Hospital, Pella Regional Health Center and Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Brian Cole was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.