Active NPI 1033108931 Individual Practitioner Male Practitioner

Dr. James D Cole , MD

Ophthalmology • El Paso, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Cole, MD is a certified Ophthalmology practicing in El Paso, TX. With approximately 35 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 1991, Dr. Cole delivers high-quality medical care to the local community at 1400 COMMON DR.

Dr. Cole maintains professional affiliations with Southwestern Eye Center Ltd, Marc Ellman Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, insertion of drug delivery implant into tear duct of eye, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 Common Dr

El Paso, TX 799365922

Telephone 9155954375

Fax 9155754460

Associated Practice Facility / Clinic

🏢 Marc Ellman, M.d., P.a. Facility NPI 1053530907

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in El Paso, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +9.9 yrs vs City Avg

City Avg: 25.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

33 Specialists

Practicing in El Paso, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cole (35 Years) 35 Yrs

El Paso Specialty Average (25.1 Years) 25.1 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
92136 Measurement of corneal curvature and depth of eye	1,114	497	$89.08	$24.76
68841 Insertion of drug delivery implant into tear duct of eye	737	420	$95.00	$15.93
66984 Removal of cataract with insertion of lens	679	394	$1900.00	$513.25
66821 Removal of recurring cataract in lens capsule using a laser	172	131	$825.00	$300.01
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	56	33	$2280.00	$662.49
66982 Complex removal of cataract with insertion of prosthetic lens	45	33	$2000.00	$687.70
65855 Laser repair to improve eye fluid flow	20	15	$615.00	$201.41
76519 Ultrasound of eye for determination of lens power	20	19	$93.25	$37.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	1,057	502	$78.81	$25.36
66984 Removal of cataract with insertion of lens	754	438	$1900.00	$508.54
68841 Insertion of drug delivery implant into tear duct of eye	592	350	$95.00	$15.84
66821 Removal of recurring cataract in lens capsule using a laser	177	131	$834.32	$300.22
76519 Ultrasound of eye for determination of lens power	25	23	$92.60	$36.14
65855 Laser repair to improve eye fluid flow	24	18	$615.00	$197.34
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	23	14	$2280.00	$637.22
66982 Complex removal of cataract with insertion of prosthetic lens	20	16	$2000.00	$694.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	822	470	$1900.00	$514.49
92136 Measurement of corneal curvature and depth of eye	309	297	$70.68	$22.39
66821 Removal of recurring cataract in lens capsule using a laser	190	142	$838.03	$297.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$410.00	$160.50
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	36	22	$2280.00	$613.57
65855 Laser repair to improve eye fluid flow	32	20	$615.00	$198.42
66982 Complex removal of cataract with insertion of prosthetic lens	26	21	$2000.00	$714.61
76519 Ultrasound of eye for determination of lens power	14	14	$100.71	$39.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	576	335	$2368.72	$519.82
92136 Measurement of corneal curvature and depth of eye	296	243	$234.36	$40.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$323.59	$161.30
66821 Removal of recurring cataract in lens capsule using a laser	56	43	$970.13	$292.95
0191T Internal insertion of eye fluid drainage device	41	23	$2910.98	$341.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	376	211	$3382.00	$522.85
92136 Measurement of corneal curvature and depth of eye	329	226	$295.00	$44.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$236.64	$160.81
66821 Removal of recurring cataract in lens capsule using a laser	43	33	$1204.56	$316.55
92014 Established patient complete exam of visual system	22	22	$159.00	$123.98
0191T Internal insertion of eye fluid drainage device	21	12	$4250.00	$328.83
66982 Complex removal of cataract with insertion of prosthetic lens	15	14	$3621.00	$704.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	510	289	$3382.00	$611.14
92136 Measurement of corneal curvature and depth of eye	427	300	$295.00	$48.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$237.07	$160.70
92014 Established patient complete exam of visual system	49	48	$160.27	$121.41
66821 Removal of recurring cataract in lens capsule using a laser	41	29	$1126.00	$305.16
0191T Internal insertion of eye fluid drainage device	32	17	$4250.00	$324.06
92004 New patient complete exam of visual system	24	24	$210.63	$147.56
92012 Established patient problem focused exam of visual system	21	18	$108.00	$85.91
92250 Photography of the retina	21	21	$138.00	$46.22
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$3621.00	$773.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	486	270	$3382.00	$607.15
92136 Measurement of corneal curvature and depth of eye	422	292	$295.00	$53.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$238.30	$159.08
92014 Established patient complete exam of visual system	121	116	$160.02	$120.12
92004 New patient complete exam of visual system	53	53	$210.00	$145.70
66821 Removal of recurring cataract in lens capsule using a laser	47	33	$1173.87	$310.59
92012 Established patient problem focused exam of visual system	46	42	$108.59	$84.46
92250 Photography of the retina	40	40	$138.00	$52.82
92134 Imaging of retina	21	20	$120.00	$39.41
92083 Exam of visual field with extended testing	16	16	$154.00	$60.82
66982 Complex removal of cataract with insertion of prosthetic lens	16	15	$3621.00	$743.97
92133 Imaging of optic nerve	12	11	$120.00	$34.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	235	126	$3740.14	$498.61
92014 Established patient complete exam of visual system	222	222	$149.43	$123.77
92136 Measurement of corneal curvature and depth of eye	148	113	$209.26	$59.39
92004 New patient complete exam of visual system	63	63	$200.75	$146.47
92012 Established patient problem focused exam of visual system	52	45	$99.92	$84.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$239.04	$157.06
66821 Removal of recurring cataract in lens capsule using a laser	18	16	$1240.11	$327.37
92083 Exam of visual field with extended testing	16	16	$154.25	$60.47
92134 Imaging of retina	16	15	$153.31	$40.76
92250 Photography of the retina	15	15	$138.00	$60.86

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX K0687

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Medical License

K0687 (TX)

Hospital & Practice Group Affiliations

Southwestern Eye Center Ltd

2030 S Solano Dr, Las Cruces, NM 880015402

Phone: 5755211158

Marc Ellman Md Pa

1400 Common Dr, El Paso, TX 799365922

Phone: 9155954375

Marc Ellman Md Pa

2301 Saturn Cir, Las Cruces, NM 880127727

Phone: 9152672020

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Hector Lozano , MD

Anesthesiology

NPI 1093811713

Doctor of Medicine (M.D.)

Dr. Candace Oto , OD

Optometrist

NPI 1356653836

Doctor of Optometry

Dr. Brent Shelley , OD

Optometrist

NPI 1538176227

Doctor of Optometry

Dr. Stephen Purdy , OD

Optometrist

NPI 1588951669

Doctor of Optometry

Dr. Marc Ellman , MD

Ophthalmology

NPI 1780635268

Doctor of Medicine (M.D.)

Dr. William Storment , OD

Optometrist

NPI 1790707040

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2018

Ophthalmology (License #K0687 in TX)

✅

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2017

Registered at 1400 COMMON DR, EL PASO, TX 799365922 (Tel: 9155954375)

📍

Updated Business Mailing Address February 15, 2017

Registered at 1400 COMMON DR, EL PASO, TX 799365922 (Tel: 9155954375)

👤

Provider Name / Credentials Updated February 15, 2017

Recorded as JAMES COLE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Ophthalmology (License #ME90013 in FL)

✅

NPI Profile Active June 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2014

Registered at 6091 S POINTE BLVD, FT MYERS, FL 339194899 (Tel: 2399857171)

📍

Updated Business Mailing Address June 25, 2014

Registered at 6091 S POINTE BLVD, FT MYERS, FL 339194899 (Tel: 2399857171)

👤

Provider Name / Credentials Updated June 25, 2014

Recorded as JAMES COLE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2014

Ophthalmology (License #ME90013 in FL)

🟢

Initial NPI Registration & Enumeration October 14, 2005

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: 1033108931

Entity Type:

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

Enumeration Date: October 14, 2005

Last Update: September 18, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1400 Common Dr

El Paso, TX 799365922

Phone: 9155954375

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.