Stephen Andrew Cole, M.D.
NPI 1053415570ActiveIndividual· Family Medicine· Walworth, WI
Family Medicine (M.D.) in Walworth, Wisconsin, trained at University of Tennessee, Hsc, College of Medicine (class of 1999). In 2024 Medicare paid $17,493 for 293 patients, and Part D covered 483 of their prescriptions, 89% of them generic.
Overview
| NPI | 1053415570 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 13, 2006 |
| Last updated in NPPES | Aug 28, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 61002-20 | WI |
| Emergency Medicine | 207P00000X | 61002-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 293 |
|---|---|
| Services billed | 384 across 25 procedure codes |
| Paid by Medicare | $17,493 |
Part D prescriptions in 2024
| Prescriptions (claims) | 483 · 488 30-day fills |
|---|---|
| Patients | 394 |
| Total drug cost | $6,444 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Family Practice |
Medical group
- Froedtert Andthe Medical College of Wisconsin Community Physicians IncWauwatosa, WI · 1,285 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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