DR. BRIAN J. COLE M.D.
NPI 1659350379
Orthopaedic Surgery - Sports Medicine in Chicago, IL

Q: What is Brian Cole's NPI number?

The NPI number for Brian Cole is 1659350379. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Q: What is Brian Cole's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Brian Cole was last updated on March 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment

1611 W HARRISON ST, STE 400, CHICAGO, IL 60612(312) 243-4244(312) 243-2744 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2023, Sep 18, 2018 (2 updates tracked since 2018).

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About Dr. Brian J. Cole M.d. NPPES

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

DR. BRIAN J. COLE M.D. (NPI 1659350379) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036095694) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Silver Cross Hospital And Medical Centers, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1659350379

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. BRIAN J. COLECredential: M.D.

Location Address1611 W HARRISON ST, STE 400Chicago, IL 60612-3841

Mailing Address1 Westbrook Corporate Ctr, #240Westchester, IL 60154-5701

Phone(312) 243-4244

Fax(312) 243-2744

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJanuary 11, 2006

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1659350379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in IL · 036095694

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1611 W HARRISON ST, Chicago, IL 60612

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Other Identifiers 7

Other207073IL · Medicare Ptan Locality 15

Other5908567Aetna

OtherDA4902Railroad Medicare Ptan

Medicaid036095694IL

Other207067IL · Medicare Ptan Locality 16

Other1633878IL · Bcbs

OtherP00072972Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Brian J. Cole M.d. 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 ID6901719863

PECOS Enrollment IDI20101011000628, I20190314000030

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 17

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.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

161 services122 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

110 services87 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

101 services77 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

65 services56 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

54 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

54 services54 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.

36 services34 patients

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.

29 services29 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.

28 services28 patients

Ct scan of arm without contrast 73200

A CT scan of the arm without contrast is a non-invasive imaging test. It uses X-ray technology to capture detailed images of your arm's structures. It doesn't involve any contrasting dye, hence, minimal preparation is required. It helps in diagnosing injuries or conditions affecting the arm.

25 services24 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

22 services22 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

20 services20 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

15 services14 patients

X-ray of hip, minimum of 4 views 73503

An X-ray of the hip with a minimum of 4 views is a non-invasive procedure that uses a small amount of radiation to produce images of the hip joint from different angles. This helps to diagnose conditions such as fractures, arthritis, or other abnormalities. It's a quick, painless process.

14 services12 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

12 services11 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

11 services11 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140213

Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County

Emergency services Birthing friendly

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

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…

100%27 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

3 suppliers22 claims22 services$87.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. FRANK M. PHILLIPS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1611 W HARRISON ST, STE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

GEORGE KOURIS MD SC

Plastic Surgery

1611 W HARRISON ST, 212
CHICAGO, IL 60612

Cook County (312) 432-2850

EMILY N STOUFFER NP-C

Nurse Practitioner

1611 W HARRISON ST, SUITE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

TARA KENNEDY DUFFY PA

Physician Assistant

1611 W HARRISON ST
CHICAGO, IL 60612

Cook County (877) 632-6637

EMILY REESON MD

Orthopaedic Surgery

1611 W HARRISON ST
CHICAGO, IL 60612

Cook County (815) 576-2046

DR. JEFFREY M MJAANES MD

Pediatrics (Sports Medicine)

1611 W HARRISON ST, STE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

ASHLEY SCHULTEJANN ATC

Specialist/Technologist (Athletic Trainer)

1611 W HARRISON ST, SUITE 300
CHICAGO, IL 60612

Cook County (312) 432-2432

PAIGE MAHER PA-C

Physician Assistant

1611 W HARRISON ST, STE 300
CHICAGO, IL 60612

Cook County (312) 432-2381

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 1659350379. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Brian Cole located?

Brian Cole practices at 1611 W Harrison St Ste 400, Chicago, IL 60612. The listed phone number is (312) 243-4244.

What is Brian Cole's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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 and Ambetter from Home State Health 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 Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Brian Cole was last updated on March 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.