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DR. DANIEL E. COLE M.D.
NPI 1962470997
Internal Medicine - Critical Care Medicine in Madison, WI

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
202 S. PARK ST., MADISON, WI 53562(608) 267-5950(608) 417-5969 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Daniel E. Cole M.d. NPPES

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

DR. DANIEL E. COLE M.D. (NPI 1962470997) is an individual critical care medicine provider in Madison, Wisconsin, licensed in Wisconsin (43701-020) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1999).

NPPES Registry Identity

NPI1962470997
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. DANIEL E. COLECredential: M.D.
Location Address202 S. PARK ST.Madison, WI 53562-5531
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 267-5950
Fax(608) 417-5969
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1999
Enumeration DateMarch 8, 2006
Last NPPES UpdateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1962470997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in WI · 43701-020
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 43701-020 (WI)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 43701-020 (WI)
202 S. PARK ST., Madison, WI 53562
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW 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

Dr. Daniel E. 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 ID8921167362
PECOS Enrollment IDI20081030000293
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 9

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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
47 services44 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
47 services44 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
26 services24 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
18 services18 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.
18 services15 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53562 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$16.01 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier19 claims19 services$12.59 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers28 claims28 services$41.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers72 claims72 services$79.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$33.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Daniel Cole's NPI number?

The NPI number for Daniel Cole is 1962470997. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Daniel Cole located?

Daniel Cole practices at 202 S. Park St., Madison, WI 53562. The listed phone number is (608) 267-5950.

What is Daniel Cole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Daniel Cole enrolled in Medicare?

Yes. Daniel 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.

What insurance does Daniel Cole accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Daniel 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.

Is Daniel Cole affiliated with any hospitals?

According to CMS data, Daniel Cole is affiliated with Fhn Memorial Hospital and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Daniel Cole 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.