Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1720192388 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry Jay Cole , DO

Orthopaedic Surgery • Wagoner, OK

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Cole has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2006
NPI Deactivation Date March 06, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Cole, DO was a registered Orthopaedic Surgery practicing in Wagoner, OK. Throughout an active medical career spanning 19 years, Dr. Cole provided care at the practice location at 1202 W CHEROKEE ST until profile deactivation on 2025-03-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, aspiration and/or injection of fluid from large joint, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1202 W Cherokee St
Suite F

Wagoner, OK 744674629

Telephone 9184851393
Fax 9184851305
Associated Practice Facility / Clinic
🏢 Jillian Riley D.o. P.c. Facility NPI 1376780031

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Wagoner, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Wagoner, OK (328 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
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
58 21 $306.99 $103.22

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OK 3922

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jeffrey Evans , MD

Orthopaedic Surgery

NPI 1588683510

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
⚠️
NPI Profile Deactivated March 06, 2025

Record deactivated on March 06, 2025

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2025

Orthopaedic Surgery (License #3922 in OK)

NPI Profile Active January 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2018

Registered at 1200 W CHEROKEE ST, WAGONER, OK 744674624 (Tel: 9184851393)

📍
Updated Business Mailing Address January 22, 2018

Registered at 1202 W CHEROKEE ST, SUITE F, WAGONER, OK 744674629 (Tel: 9184851393)

👤
Provider Name / Credentials Updated January 22, 2018

Recorded as JERRY COLE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2018

Orthopaedic Surgery (License #845 in ME)

NPI Profile Active October 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2014

Registered at 1202 W CHEROKEE ST, SUITE F, WAGONER, OK 744674629 (Tel: 9184851393)

📍
Updated Business Mailing Address October 14, 2014

Registered at 1202 W CHEROKEE ST, SUITE F, WAGONER, OK 744674629 (Tel: 9184851393)

👤
Provider Name / Credentials Updated October 14, 2014

Recorded as JERRY COLE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2014

Orthopaedic Surgery (License #3922 in OK)

🟢
Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerry Cole. Be the first to share your experience!

Sign in to leave a review for Dr. Jerry Cole

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720192388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: October 14, 2014
Deactivation Date: March 06, 2025

Mailing Address

1202 W Cherokee St, Suite F

Wagoner, OK 744674629

Phone: 9184851393

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.