DR. COLE CHRISTOPHER BUDINSKY M.D.
NPI 1740625615
Family Medicine - Sports Medicine in Sheffield Village, OH

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
5001 TRANSPORTATION DR, SHEFFIELD VILLAGE, OH 44054(440) 329-2800 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2021, Jul 2, 2019, Jul 11, 2018 (3 updates tracked since 2018).

About Dr. Cole Christopher Budinsky M.d. NPPES

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

DR. COLE CHRISTOPHER BUDINSKY M.D. (NPI 1740625615) is an individual sports medicine provider in Sheffield Village, Ohio, licensed in Ohio (35.133240) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2013).

NPPES Registry Identity

NPI1740625615
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. COLE CHRISTOPHER BUDINSKYCredential: M.D.
Location Address5001 TRANSPORTATION DRSheffield Village, OH 44054-2850
Mailing Address1887 Willoway Cir NColumbus, OH 43220-7512 · (937) 241-3351
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateJanuary 29, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
NPI 1740625615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in OH · 35.133240
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
5001 TRANSPORTATION DR, Sheffield Village, OH 44054

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

Dr. Cole Christopher Budinsky 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 ID6406084789
PECOS Enrollment IDI20190822003342
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 22

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.

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.
214 services156 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
182 services31 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.
135 services111 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.
120 services78 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
69 services57 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.
59 services52 patients

Hospital Affiliations CMS Care Compare 4

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

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44054 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier31 claims31 services$59.51 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$86.23 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier31 claims31 services$212.42 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.

Physician Assistant
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Nurse Practitioner (Family)
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Physician Assistant (Surgical)
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Physician Assistant (Surgical)
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054

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 Cole Budinsky's NPI number?

The NPI number for Cole Budinsky is 1740625615. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Cole Budinsky located?

Cole Budinsky practices at 5001 Transportation Dr, Sheffield Village, OH 44054. The listed phone number is (440) 329-2800.

What is Cole Budinsky's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Cole Budinsky enrolled in Medicare?

Yes. Cole Budinsky 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 Cole Budinsky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Cole Budinsky 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 Cole Budinsky affiliated with any hospitals?

According to CMS data, Cole Budinsky is affiliated with Uh St John Medical Center, Uh Cleveland Medical Center, University Hospitals - Elyria Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Cole Budinsky was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.