Active NPI 1114100559 Individual Practitioner Male Practitioner

Dr. Jeffrey Randall Cole , MD

Surgery • Fort Payne, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Cole, MD is a certified Surgery practicing in Fort Payne, AL. With approximately 14 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2012, Dr. Cole delivers high-quality medical care to the local community at 323 MEDICAL CENTER DR SW.

Dr. Cole accepts Medicare assignment.

Frequently performed procedures and clinical services include outpatient office visit, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

323 Medical Center Dr Sw

Fort Payne, AL 359683420

Telephone 2562734300

Associated Practice Facility / Clinic

🏢 Cole Surgical Arts Facility NPI 1316421944

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Payne, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -9.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Fort Payne, AL (471 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cole (14 Years) 14 Yrs

Fort Payne Specialty Average (23.3 Years) 23.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	66	35	$65.00	$21.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	38	$411.00	$122.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	41	$170.00	$52.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	40	$1002.00	$62.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$622.00	$159.39
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$282.00	$86.07
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$1397.00	$167.64
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$285.00	$67.03
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1676.00	$230.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$405.00	$104.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	47	$282.00	$83.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	59	31	$65.00	$20.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	39	$170.00	$51.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$405.00	$101.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$622.00	$155.07
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$1290.38	$152.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$1309.17	$65.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$411.00	$118.62
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$285.00	$65.22
43249 Balloon dilation of esophagus using an endoscope	18	16	$3365.44	$113.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$1787.00	$195.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$787.00	$211.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	50	$553.00	$172.19
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$282.00	$85.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	33	$170.00	$53.27
45378 Diagnostic exam of large bowel using a flexible endoscope	48	48	$1243.00	$167.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	43	$1390.00	$84.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$411.00	$119.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$622.00	$154.12
43249 Balloon dilation of esophagus using an endoscope	21	19	$4015.00	$122.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$779.00	$189.46
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1787.00	$203.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	99	$411.00	$123.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	80	$553.00	$171.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	27	$411.00	$96.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	81	81	$780.41	$213.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	51	$1390.00	$64.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	19	$553.00	$142.56
45378 Diagnostic exam of large bowel using a flexible endoscope	47	47	$1243.00	$176.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	33	$170.00	$53.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	20	$779.00	$193.26
11042 Removal of skin and tissue, 20.0 sq cm or less	36	15	$469.00	$58.63
43249 Balloon dilation of esophagus using an endoscope	21	20	$4015.00	$103.13
97597 Removal of tissue from wound, 20.0 sq cm or less	20	14	$272.00	$35.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$598.61	$155.69
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1787.00	$208.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	91	$170.00	$41.57
99213 Established patient office or other outpatient visit, typically 15 minutes	123	85	$282.00	$70.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	64	58	$1390.00	$67.53
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$285.00	$70.00
99213 Established patient office or other outpatient visit, typically 15 minutes	51	22	$282.00	$49.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	23	$170.00	$24.94
11042 Removal of skin and tissue, 20.0 sq cm or less	43	18	$469.00	$58.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$405.00	$101.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	22	$86.00	$21.41
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$1243.00	$175.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$530.00	$133.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1676.00	$242.25
43249 Balloon dilation of esophagus using an endoscope	16	14	$4015.00	$101.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$411.00	$76.80
11042 Removal of skin and tissue, 20.0 sq cm or less	14	11	$469.00	$117.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	198	115	$73.64	$41.42
99213 Established patient office or other outpatient visit, typically 15 minutes	75	55	$103.68	$68.94
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$60.00	$59.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	21	$76.69	$24.05
45378 Diagnostic exam of large bowel using a flexible endoscope	44	44	$512.45	$144.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	29	$50.00	$20.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$90.85	$87.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	24	$499.46	$53.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$168.75	$101.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$773.40	$244.40
43238 Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope	15	15	$400.00	$208.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	140	$46.00	$40.39
99213 Established patient office or other outpatient visit, typically 15 minutes	147	113	$72.00	$67.14
11042 Removal of skin and tissue, 20.0 sq cm or less	121	36	$265.00	$56.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	74	72	$628.00	$69.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	26	$46.00	$24.02
45378 Diagnostic exam of large bowel using a flexible endoscope	60	59	$774.00	$174.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$113.00	$98.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	51	$137.00	$129.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$105.00	$100.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	17	$71.00	$68.76
97597 Removal of tissue from wound, 20.0 sq cm or less	28	16	$104.00	$23.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$160.00	$148.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	18	$105.00	$72.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1167.00	$239.41
43249 Balloon dilation of esophagus using an endoscope	22	21	$750.00	$99.70
99238 Hospital discharge day management, 30 minutes or less	16	16	$82.00	$68.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$375.00	$189.79
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$250.00	$187.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	119	$72.00	$67.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	160	119	$46.00	$40.04
11042 Removal of skin and tissue, 20.0 sq cm or less	159	45	$265.00	$56.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	48	$46.00	$23.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	82	74	$628.00	$67.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$113.00	$99.65
97597 Removal of tissue from wound, 20.0 sq cm or less	68	31	$104.00	$22.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	63	16	$567.00	$143.07
45378 Diagnostic exam of large bowel using a flexible endoscope	59	59	$774.00	$167.50
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	58	12	$92.00	$52.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	41	$137.00	$129.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	30	$1167.00	$241.53
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	23	14	$52.00	$24.67
43249 Balloon dilation of esophagus using an endoscope	19	18	$750.00	$95.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$75.00	$49.72
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$72.00	$48.23
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$375.00	$238.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$105.00	$71.16

Medical Specialties & State Licenses

CMS Verified: 2020-05-28

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL MD31787

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License NC AN3187956-S48

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 43830

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Magan Edwards , APRN, FNP-C

Nurse Practitioner - Family

NPI 1497640734

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address May 28, 2020

Registered at 323 MEDICAL CENTER DR SW, FORT PAYNE, AL 359683420 (Tel: 2562734300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2020

Surgery (License #MD31787 in AL)

📍

Updated Practice Location July 05, 2019

Registered at 323 MEDICAL CENTER DR SW, FORT PAYNE, AL 359683420 (Tel: 2562734300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2019

Surgery (License #AN3187956-S48 in NC)

✅

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 19, 2015

Registered at 317 MEDICAL CENTER DR SW, FORT PAYNE, AL 359683420 (Tel: 2568453336)

📍

Updated Business Mailing Address August 19, 2015

Registered at 317 MEDICAL CENTER DR SW, FORT PAYNE, AL 359683420 (Tel: 2568453336)

👤

Provider Name / Credentials Updated August 19, 2015

Recorded as JEFFREY COLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Surgery (License #MD31787 in AL)

🟢

Initial NPI Registration & Enumeration December 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114100559

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 07, 2007

Last Update: May 28, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

323 Medical Center Dr Sw

Fort Payne, AL 359683420

Phone: 2562734300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.