Stephen Cole, M.D.
NPI 1053415570 · Family Medicine Physician · Walworth, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Cole, M.D. is a Family Medicine Physician provider in Walworth, WI (NPI 1053415570).
Provider details
- NPI number
- 1053415570
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 61002-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
338 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 183 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $123 |
| Automated Urinalysis Test81003 | 42 | $2 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 30 | $106 |
| Inhalation Treatment for Airway Obstruction Or Sputum Production94640 | 15 | $7 |
| Removal of Impacted Ear Wax By Washing69209 | 12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 55 | 55 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 50 | 49 |
| Prednisone | 33 | 33 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 32 | 32 |
| Doxycycline Hyclate | 23 | 23 |
| Ciprofloxacin Hcl | 20 | 20 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2017-08-28
Frequently asked questions
- What is Stephen Cole's NPI number?
- Stephen Cole's National Provider Identifier (NPI) is 1053415570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Cole's specialty?
- Stephen Cole is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Cole located?
- Stephen Cole's practice location on file with NPPES is 525 Kenosha St, Walworth, WI 53184-9512.
- What is Stephen Cole's phone number?
- The practice phone number listed in the NPPES registry for Stephen Cole is (262) 275-2101.
- Does Stephen Cole accept Medicare?
- Stephen Cole is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Cole's NPI active?
- Yes — Stephen Cole's NPI (1053415570) is active in the NPPES registry as of the last update on 2017-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.