BRIAN A. COLE MD
NPI 1518943380
Radiology - Diagnostic Radiology in Neenah, WI
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
Specialties & Licenses
Other Identifiers 4
Accepted 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
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.
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.
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, IACompass Memorial Healthcare
Critical Access Hospitals · Marengo, IAWayne County Hospital
Critical Access Hospitals · Corydon, IAAscension NE Wisconsin - St Elizabeth Campus
Acute Care Hospitals · Appleton, WISt. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIPhysician 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.
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
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.
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.
What insurance does Brian Cole accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer 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, Ascension NE Wisconsin - St Elizabeth Campus and St. Agnes Hospital Hospice.
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 14 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.