KERRY L KOLE DO
NPI 1912996166
Surgery in Traverse City, MI
About Kerry L Kole Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY L KOLE DO (NPI 1912996166) is an individual surgery provider in Traverse City, Michigan, licensed in Michigan (5101012055) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 4
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
Kerry L Kole Do 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kerry Kole reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 492 clinicians in this Medicare group
Grayling, MI 49738
- Reassigned Medicare billing, Michigan enrollment
- 123 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- 12 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Medical Center
Acute Care Hospitals · Traverse City, MIKalkaska Memorial Health Center
Critical Access Hospitals · Kalkaska, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
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 Kerry Kole's NPI number?
The NPI number for Kerry Kole is 1912996166. It was assigned to this individual provider in the NPPES registry on October 20, 2005.
Where is Kerry Kole located?
Kerry Kole practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-7514.
What is Kerry Kole's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kerry Kole enrolled in Medicare?
Yes. Kerry Kole 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 Kerry Kole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Kole reassigns Medicare benefits to 3 organizations: Munson Medical Center (Traverse City, MI), Munson Healthcare Grayling (Grayling, MI) and Critical Care Surgeons PLLC (Detroit, MI). 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 Kerry Kole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kerry Kole accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kerry Kole 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 Kerry Kole affiliated with any hospitals?
According to CMS data, Kerry Kole is affiliated with Munson Medical Center and Kalkaska Memorial Health Center.
When was this NPI record last updated?
The NPPES record for Kerry Kole was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kerry L Kole, DO · NPI 1912996166
Surgery physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since October 20, 2005.
## Identity
- **NPI:** 1912996166 (Entity type: Individual)
- **Enumerated:** October 20, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 5101012055 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1105 SIXTH ST, Traverse City, MI 49684
- **Phone:** (231) 935-7514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Munson Medical Center (NPI 1205864220, Traverse City, MI); Munson Healthcare Grayling (NPI 1699275750, Grayling, MI); Critical Care Surgeons PLLC (NPI 1710213731, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 1993
## Record status
- **NPPES last updated:** October 22, 2020
- **Other identifiers:** Medicaid 4578920 (MI); Other 5821108 (MI); Medicaid 4604280 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912996166) · Data from the CMS NPPES public registry.