Active NPI 1801895776 Individual Practitioner Male Practitioner

Dr. Edwin K Cole , MD

Surgery • Enid, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Cole, MD is a certified Surgery practicing in Enid, OK. With approximately 36 years of clinical experience since graduating from Ohio State University College Of Medicine in 1990, Dr. Cole delivers high-quality medical care to the local community at 330 S 5TH ST STE 401.

Dr. Cole is affiliated with Mercy Clinic Oklahoma Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, removal of gallbladder with x-ray study of bile ducts using an endoscope, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

330 S 5th St Ste 401

Enid, OK 737015863

Telephone 5802493898

Fax 5802349625

Associated Practice Facility / Clinic

🏢 Heart Clinic, Pllc Facility NPI 1437153244

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Enid, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +11.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Enid, OK (386 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cole (36 Years) 36 Yrs

Enid Specialty Average (25.0 Years) 25.0 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	60	$222.00	$128.03
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$2114.00	$668.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$80.00	$48.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	90	$222.00	$123.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	28	$117.00	$75.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	29	$80.00	$47.57
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$164.00	$79.41
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$2114.00	$680.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	212	119	$1011.90	$67.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	68	$1809.04	$128.23
99221 Initial hospital inpatient care per day, typically 30 minutes	46	45	$1218.57	$95.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	23	$329.60	$36.87
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$9153.50	$665.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	193	96	$1100.00	$69.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	108	106	$2100.00	$131.29
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$1550.00	$97.70
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$11500.00	$677.39
43830 Insertion of stomach feeding tube, open procedure, without construction of gastric tube	11	11	$11250.00	$642.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	42	$962.45	$71.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	64	$1615.38	$136.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$265.00	$99.08
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$179.00	$70.99
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$727.18	$100.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$106.00	$43.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$387.08	$86.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$265.00	$102.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	25	$100.00	$38.71
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$179.00	$71.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$350.00	$134.52
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$351.00	$100.86
99221 Initial hospital inpatient care per day, typically 30 minutes	17	15	$257.00	$99.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$106.00	$42.70
45380 Biopsy of large bowel using an endoscope	12	12	$686.00	$187.67
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$574.00	$179.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	87	41	$79.40	$36.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$217.69	$101.06
99221 Initial hospital inpatient care per day, typically 30 minutes	54	51	$205.11	$96.68
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$146.88	$68.70
47562 Removal of gallbladder using an endoscope	18	18	$1361.89	$647.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$327.43	$157.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$220.00	$102.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$701.83	$306.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$203.00	$99.35
99213 Established patient office or other outpatient visit, typically 15 minutes	60	51	$137.00	$67.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$312.00	$152.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	25	$76.00	$37.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	27	$139.00	$69.39
47562 Removal of gallbladder using an endoscope	23	23	$1281.00	$598.15
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$196.00	$88.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$81.00	$40.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$265.00	$131.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$202.00	$100.79
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$696.00	$287.42
49650 Repair of groin hernia using an endoscope	12	12	$863.54	$429.02

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 21807

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200000220B (OK)

Commercial Insurance / Payer ID Rr Medicare

P01319276 (OK)

Commercial Insurance / Payer ID Medicaid Osu Aj

200000220C (OK)

Hospital & Practice Group Affiliations

Mercy Clinic Oklahoma Communities

4140 W Memorial Rd, Oklahoma City, OK 731208365

Phone: 4057494231

Secondary Practice Locations

620 S Madison St, Suite 108

Enid, OK 737017270

Phone: 5802342289

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Timothy Jones , MD

Otolaryngology

NPI 1063424331

Doctor of Medicine (M.D.)

Dr. David Shepherd , MD

Surgery

NPI 1235279746

Doctor of Medicine (M.D.)

Dr. Martin Bozeman , MD

Surgery

NPI 1568421253

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events

✅

NPI Profile Active March 30, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2018

Registered at 330 S 5TH ST STE 401, ENID, OK 737015863 (Tel: 5802493898)

📍

Updated Business Mailing Address March 30, 2018

Registered at PO BOX 3046, MALVERN, PA 193550746 (Tel: 5802493898)

👤

Provider Name / Credentials Updated March 30, 2018

Recorded as EDWIN COLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2018

Surgery (License #21807 in OK)

📍

Updated Practice Location March 09, 2018

Registered at 330 S 5TH ST STE 401, ENID, OK 737015863 (Tel: 5802493898)

📍

Updated Business Mailing Address March 09, 2018

Registered at PO BOX 3046, MALVERN, PA 193550746 (Tel: 5802493898)

✅

NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2017

Registered at 620 S MADISON ST, SUITE 108, ENID, OK 737017270 (Tel: 5802342289)

📍

Updated Business Mailing Address April 05, 2017

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 5802342289)

👤

Provider Name / Credentials Updated April 05, 2017

Recorded as EDWIN COLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Surgery (License #21807 in OK)

✅

NPI Profile Active January 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 22, 2016

Registered at 620 S MADISON ST, SUITE 108, ENID, OK 737017270 (Tel: 5802342289)

📍

Updated Business Mailing Address January 22, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 5802342289)

👤

Provider Name / Credentials Updated January 22, 2016

Recorded as EDWIN COLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2016

Surgery (License #21807 in OK)

🟢

Initial NPI Registration & Enumeration July 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801895776

Entity Type:

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

Enumeration Date: July 21, 2005

Last Update: March 30, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3046

Malvern, PA 193550746

Phone: 5802493898

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.