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DR. JUSTIN ALLEN COLE M.D.
NPI 1790132199
Emergency Medicine in Perrysburg, OH

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
10421 SCARLET OAK DR, PERRYSBURG, OH 43551(724) 557-0327 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2023, Aug 16, 2018, May 16, 2016 (3 updates tracked since 2016).

About Dr. Justin Allen Cole M.d. NPPES

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

DR. JUSTIN ALLEN COLE M.D. (NPI 1790132199) is an individual emergency medicine provider in Perrysburg, Ohio, licensed in Pennsylvania (MD469018) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains a secondary practice location in Tyrone.

NPPES Registry Identity

NPI1790132199
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN ALLEN COLECredential: M.D.
Location Address10421 SCARLET OAK DRPerrysburg, OH 43551
Mailing Address10421 Scarlet Oak DrPerrysburg, OH 43551-9169 · (724) 557-0327
Phone(724) 557-0327
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 16, 2016
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1790132199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD469018✔ Licensed in OH · 35.134694
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10421 SCARLET OAK DR, Perrysburg, OH 43551
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Secondary Practice Location 1

Location 1187 Hospital DrTyrone, PA 16686-1808 · Phone (814) 684-1255

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. Justin Allen 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 ID1355692039
PECOS Enrollment IDI20191023000012
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

6

Medicare enrollment records show Justin Cole reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Emergency Care Services, Inc.
9.8 mi
Emergency Medicine
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 277 clinicians in this Medicare group
NPI 1477957819 (419) 251-3232
Hles Of Ohio, Inc.
28 mi
Emergency Medicine
725 S SHOOP AVE
Wauseon, OH 43567
  • Reassigned Medicare billing, Ohio enrollment
  • 118 clinicians in this Medicare group
NPI 1679806301 (800) 998-7578
Brookville Hospital
236 mi
Multi-Specialty
88 HOSPITAL RD
Brookville, PA 15825
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1063560852 (Pennsylvania)
  • 122 clinicians in this Medicare group
NPI 1629697925 (814) 849-2312
Dubois Regional Medical Center
252 mi
Emergency Medicine
100 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 168 clinicians in this Medicare group
NPI 1992802391 (814) 371-2200
Elk Regional Health Center
260 mi
Emergency Medicine
763 JOHNSONBURG RD
Saint Marys, PA 15857
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 82 clinicians in this Medicare group
NPI 1114460391 (814) 788-8595
Pinecroft Medical Center
283 mi
Family Medicine
417 SABBATH REST RD STE 3
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Tyrone Hospital
  • Also billed through NPI 1659472447 (Pennsylvania)
  • 129 clinicians in this Medicare group
NPI 1780622621 (814) 940-8195

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
109 services104 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
78 services72 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Tyrone

Critical Access Hospitals · Tyrone, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391307
Location187 Hospital DriveTyrone, PA 16686 · Blair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43551 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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

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 Justin Cole's NPI number?

The NPI number for Justin Cole is 1790132199. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Justin Cole located?

Justin Cole practices at 10421 Scarlet Oak Dr, Perrysburg, OH 43551. The listed phone number is (724) 557-0327.

What is Justin Cole's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Cole enrolled in Medicare?

Yes. Justin 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 Justin Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Cole reassigns Medicare benefits to 6 organizations: Mercy Emergency Care Services, Inc. (Toledo, OH), Hles Of Ohio, Inc. (Wauseon, OH), Brookville Hospital (Brookville, PA), Dubois Regional Medical Center (Du Bois, PA), Elk Regional Health Center (Saint Marys, PA) and 1 more organization, listed in the Medicare section above. 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 Justin Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Cole affiliated with any hospitals?

According to CMS data, Justin Cole is affiliated with Penn Highlands Dubois and Penn Highlands Tyrone.

When was this NPI record last updated?

The NPPES record for Justin Cole was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.