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, 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.
Medicare Billing Reassignments
5Medicare 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.
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 84 clinicians in this Medicare group
Pella, IA 50219
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1053369405 (Iowa)
- 117 clinicians in this Medicare group
Pella, IA 50219
- Reassigned Medicare billing, Iowa enrollment
- Medicare enrollment name: Iowa Orthopaedic Center PC
- 69 clinicians in this Medicare group
Des Moines, IA 50314
- Reassigned Medicare billing, Iowa enrollment
- 518 clinicians in this Medicare group
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.
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, IAPella Regional Health Center
Critical Access Hospitals · Pella, IAAscension NE Wisconsin - St Elizabeth Campus
Acute Care Hospitals · Appleton, 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.
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.