DR. CONRAD R COLE MD
NPI 1700828464
Pediatrics - Pediatric Gastroenterology in Gainesville, FL

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-9350(352) 273-9055 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Conrad R Cole Md NPPES

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

DR. CONRAD R COLE MD (NPI 1700828464) is an individual pediatric gastroenterology provider in Gainesville, Florida, licensed in Florida (ME167918) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1700828464
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. CONRAD R COLECredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3026
Mailing AddressPo Box 100296Gainesville, FL 32610-0296 · (352) 273-9350 · Fax (352) 273-9055
Fax(352) 273-9055
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1700828464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in FL · ME167918✔ Licensed in GA · 052907✔ Licensed in OH · 35-078856
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1600 SW ARCHER RD, Gainesville, FL 32610

Secondary Practice Location 1

Location 13333 Burnet Avenue MLC 2010, Cincinnati Children's HospitalCincinnati, OH 45229-3026 · Phone (513) 636-4415 · Fax (513) 636-7805

Other Identifiers 1

Medicaid363382413AGA

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

Dr. Conrad R 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 ID2769466374
PECOS Enrollment IDI20240712001609
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

2

Medicare enrollment records show Conrad Cole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610

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 Conrad Cole's NPI number?

The NPI number for Conrad Cole is 1700828464. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Conrad Cole located?

Conrad Cole practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-9350.

What is Conrad Cole's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Conrad Cole enrolled in Medicare?

Yes. Conrad 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 Conrad Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conrad Cole reassigns Medicare benefits to 2 organizations: Florida Clinical Practice Association Inc (Gainesville, FL) and Children's Hospital Medical Center (Cincinnati, OH). 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 Conrad Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Conrad Cole accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Conrad 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.

When was this NPI record last updated?

The NPPES record for Conrad Cole was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.