COLE WAYNE WOOTTON MD
NPI 1881828556
Urology in Elk City, OK

Q: What is Cole Wootton's NPI number?

The NPI number for Cole Wootton is 1881828556. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Q: What is Cole Wootton's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Cole Wootton was last updated on July 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2009PECOS EnrolledAccepts Medicare Assignment

75.12/100

CMS Quality Rating

1800 W 1ST ST, SUITE 106, ELK CITY, OK 73644(580) 243-2200(580) 243-0812 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2020, Nov 4, 2016 (2 updates tracked since 2016).

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About Cole Wayne Wootton Md NPPES

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

COLE WAYNE WOOTTON MD (NPI 1881828556) is an individual urology provider in Elk City, Oklahoma, licensed in Kentucky (R2120) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Great Plains Regional Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2009).

NPPES Registry Identity

NPI1881828556

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameCOLE WAYNE WOOTTONCredential: MD

Location Address1800 W 1ST ST, SUITE 106Elk City, OK 73644-3133

Mailing Address11000 Hefner Pointe DrOklahoma City, OK 73120-5039 · (405) 749-9655 · Fax (405) 749-1001

Phone(580) 243-2200

Fax(580) 243-0812

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2009

Enumeration DateMay 11, 2009

Last NPPES UpdateJuly 7, 20202 updates tracked since enumeration

NPPES CertifiedJuly 7, 2020

✔ NPI 1881828556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in KY · R2120

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1800 W 1ST ST, Elk City, OK 73644

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Cole Wayne Wootton 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 ID7618291576

PECOS Enrollment IDI20150123001653, I20251205002726

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 33

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.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

2,327 services140 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

786 services490 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

537 services140 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.

431 services301 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

298 services218 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.

245 services188 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

194 services150 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

192 services152 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

192 services149 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

138 services17 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

137 services56 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

131 services56 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.

121 services121 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

118 services92 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

109 services84 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

80 services19 patients

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87184

Evaluation of antimicrobial drugs involves testing how effective these medicines are in stopping harmful microorganisms. This can include bacteria (antibiotics), fungi (antifungals), or viruses (antivirals). The goal is to ensure the right medicine is used for your condition.

72 services58 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

47 services24 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

45 services45 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.

45 services45 patients

Detection test by nucleic acid for organism, quantification 87799

A detection test by nucleic acid quantification is a lab procedure used to identify specific organisms in your body. It measures the amount of an organism's genetic material, helping to diagnose and monitor certain diseases.

45 services15 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

40 services35 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

37 services33 patients

Tissue marker, implantable, any type, each A4648

An implantable tissue marker is a tiny device placed in the body to mark the location of a specific area. It helps doctors accurately identify the spot for future reference, such as during treatment or follow-up visits. It's a safe procedure and usually painless.

29 services23 patients

Ultrasonic guidance for needle placement 76942

26 services23 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

25 services19 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

23 services23 patients

Placement of device in prostate for radiation therapy 55876

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

23 services23 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

19 services19 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

18 services15 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

15 services12 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

14 services13 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Great Plains Regional Medical Center

Acute Care Hospitals · Elk City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370019

Location1801 West 3rd StreetElk City, OK 73644 · Beckham County

Emergency services Birthing friendly

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370022

Location1200 East Pecan StAltus, OK 73521 · Jackson County

Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Community Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370203

Location3100 Southwest 89th StreetOklahoma City, OK 73159 · Oklahoma County

Emergency services

Onecore Health

Acute Care Hospitals · Oklahoma City, OK

OwnershipVoluntary non-profit - Other

CMS Certification Number370220

Location100 NE 85th StreetOklahoma City, OK 73114 · Oklahoma County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73644 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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.

75.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.37

Improvement Activities

Cost

40.59

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

68%399 patients3/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

62%290 patients3/55-star benchmark: 98%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

0%676 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

72%676 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

8%676 patients1/55-star benchmark: 79%

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 5

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers31 claims4,290 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers72 claims9,223 services$1.68 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers21 claims3,448 services$5.17 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers15 claims17 services$7.77 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

2 suppliers25 claims30 services$6.24 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TYSON DALE FISHER M.D.

Otolaryngology

1800 W 1ST ST, STE 3
ELK CITY, OK 73644

Beckham County (405) 757-3510

RIVERS EDGE MENTAL HEALTH ASSOCIATES, P.C.

Psychiatry & Neurology (Psychiatry)

1800 W 1ST ST, SUITE 104
ELK CITY, OK 73644

Beckham County (580) 225-8899

FARMERS UNION HOSPITAL ASSOCIATION

Clinic/Center (Rural Health)

1800 W 1ST ST, SUITES 101, 102, 103 AND 105
ELK CITY, OK 73644

Beckham County (580) 225-2515

DR. JOE EDWARD COKER M.D.

Urology

1800 W 1ST ST
ELK CITY, OK 73644

Beckham County (580) 243-2200

WESTERN OKLAHOMA UROLOGY PLLC

Urology

1800 W 1ST ST, SUITE 106
ELK CITY, OK 73644

Beckham County (580) 243-2200

KYLEE RAELYN RAMIREZ APRN-CNP

Nurse Practitioner (Family)

1800 W 1ST ST
ELK CITY, OK 73644

Beckham County (580) 225-2515

DR ELOISE J HAYES PLLC

Psychiatry & Neurology (Psychiatry)

1800 W 1ST ST, SUITE 109
ELK CITY, OK 73644

Beckham County (580) 225-3999

CAMILLA M KROMPECHER MD

Family Medicine

1800 W 1ST ST
ELK CITY, OK 73644

Beckham County (580) 243-0525

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 Wootton's NPI number?

The NPI number for Cole Wootton is 1881828556. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Cole Wootton located?

Cole Wootton practices at 1800 W 1st St Suite 106, Elk City, OK 73644. The listed phone number is (580) 243-2200.

What is Cole Wootton's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Cole Wootton enrolled in Medicare?

Yes. Cole Wootton 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 Wootton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Cole Wootton 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 Wootton affiliated with any hospitals?

According to CMS data, Cole Wootton is affiliated with Great Plains Regional Medical Center, Jackson County Memorial Hospital Authority, Integris Baptist Medical Center, Inc, Community Hospital, LLC and Onecore Health.

When was this NPI record last updated?

The NPPES record for Cole Wootton was last updated on July 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.