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STEPHANIE JOY COLE DO
NPI 1922238666
Surgery in Goshen, IN

Active since July 15, 2009PECOS Enrolled
80.59/100
CMS Quality Rating
1135 PROFESSIONAL DR, GOSHEN, IN 46526(574) 364-4600(574) 364-4610 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, Oct 16, 2019 (2 updates tracked since 2019).

About Stephanie Joy Cole Do NPPES

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

STEPHANIE JOY COLE DO (NPI 1922238666) is an individual surgery provider in Goshen, Indiana, licensed in Indiana (02009259A) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922238666
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSTEPHANIE JOY COLECredential: DO
Location Address1135 PROFESSIONAL DRGoshen, IN 46526-3800
Mailing Address200 High Park AveGoshen, IN 46526-4810 · (574) 364-2888
Phone(574) 364-4600
Fax(574) 364-4610
Sole ProprietorNo
Enumeration DateJuly 15, 2009
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1922238666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 02009259A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1135 PROFESSIONAL DR, Goshen, IN 46526
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Other Names 1

Former Name (1)Stephanie Joy Ingham Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Joy Cole Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Stephanie Cole reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Goshen Health System Inc
1.1 mi
Family Medicine
1701 S MAIN ST
Goshen, IN 46526
  • Reassigned Medicare billing, Indiana enrollment
  • 149 clinicians in this Medicare group
NPI 1194772293 (574) 364-2592
Vhs Physicians Of Michigan
147 mi
Internal Medicine
29201 TELEGRAPH RD STE 404N
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 407 clinicians in this Medicare group
NPI 1073827101 (248) 450-3507
Mclaren Central Michigan
151 mi
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group
NPI 1245266063 (989) 772-6700
Mclaren Bay Region
172 mi
Pulmonary Disease
640 S TRUMBULL ST
Bay City, MI 48708
  • Reassigned Medicare billing, Michigan enrollment
  • 250 clinicians in this Medicare group
NPI 1083974323 (989) 893-7460

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services41 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.
26 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
18%34 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
65%68 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
75%701 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
80%427 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%478 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 416 patients
Patients screened: 89% · 416 patients
88%64 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%267 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 4

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

SHEILA M FLEMING NP
Nurse Practitioner (Adult Health)
1135 PROFESSIONAL DR
GOSHEN, IN 46526
Elkhart County (574) 364-4600
COLLEEN A SHAY NP
Nurse Practitioner (Family)
1135 PROFESSIONAL DR
GOSHEN, IN 46526
Elkhart County (574) 364-4600
ALYSSA N YODER NP
Nurse Practitioner
1135 PROFESSIONAL DR
GOSHEN, IN 46526
Elkhart County (574) 364-4611
TAYLOR ALEXIS TORRES DNP, RN, FNP-C
Nurse Practitioner (Family)
1135 PROFESSIONAL DR
GOSHEN, IN 46526
Elkhart County (574) 364-4600

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 Stephanie Cole's NPI number?

The NPI number for Stephanie Cole is 1922238666. It was assigned to this individual provider in the NPPES registry on July 15, 2009. The provider is also known as Stephanie Joy Ingham Do.

Where is Stephanie Cole located?

Stephanie Cole practices at 1135 Professional Dr, Goshen, IN 46526. The listed phone number is (574) 364-4600.

What is Stephanie Cole's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephanie Cole enrolled in Medicare?

Yes. Stephanie Cole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Cole reassigns Medicare benefits to 4 organizations: Goshen Health System Inc (Goshen, IN), Vhs Physicians Of Michigan (Southfield, MI), Mclaren Central Michigan (Mt Pleasant, MI) and Mclaren Bay Region (Bay City, 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 Stephanie Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Cole accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Stephanie 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 Stephanie Cole was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.