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DR. JASON PATRICK COLES MD
NPI 1619088580
Internal Medicine - Sleep Medicine in Grand Rapids, MI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546(616) 391-3759 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2022, Feb 23, 2021, Aug 15, 2017 (3 updates tracked since 2017).

About Dr. Jason Patrick Coles Md NPPES

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

DR. JASON PATRICK COLES MD (NPI 1619088580) is an individual sleep medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301097314) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Human Medicine (2003).

NPPES Registry Identity

NPI1619088580
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. JASON PATRICK COLESCredential: MD
Location Address4100 LAKE DR SE STE 200Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-3759
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2003
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1619088580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in MI · 4301097314
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301097314 (MI)
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 4301097314 (MI)
4100 LAKE DR SE STE 200, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Jason Patrick Coles 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 ID3971683285
PECOS Enrollment IDI20110127000458
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 9

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 moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
45 services44 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.
30 services29 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.
23 services22 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
22 services21 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
23 suppliers205 claims205 services$35.62 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
18 suppliers93 claims93 services$85.51 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
16 suppliers93 claims207 services$34.38 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers76 claims329 services$15.57 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
17 suppliers55 claims272 services$14.07 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
23 suppliers155 claims155 services$51.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARY BARR NP
Nurse Practitioner
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
AMY LYNN ZOMERLEI NP
Nurse Practitioner (Adult Health)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
STEPHEN THOMAS DOYLE DO
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
HUMNA ABID MEMON M.D.
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANIECE ANN FEUERSTEIN NP
Nurse Practitioner (Gerontology)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
DR. RAVICHAND MADALA M.D.
Internal Medicine (Sleep Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
JOHN RICHARD PARKER PA-C
Physician Assistant
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
ABIGAIL MIA POORT PHARMD
Pharmacist
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3397

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 Jason Coles's NPI number?

The NPI number for Jason Coles is 1619088580. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jason Coles located?

Jason Coles practices at 4100 Lake Dr SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 391-3759.

What is Jason Coles's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Jason Coles enrolled in Medicare?

Yes. Jason Coles 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 Jason Coles accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jason Coles 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 Jason Coles affiliated with any hospitals?

According to CMS data, Jason Coles is affiliated with Spectrum Health and Corewell Health Ludington Hospital.

When was this NPI record last updated?

The NPPES record for Jason Coles was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.