Theodore Cole, DO
NPI 1063694966 · Family Medicine Physician · West Chester, OH
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Cole, DO is a Family Medicine Physician provider in West Chester, OH (NPI 1063694966).
Provider details
- NPI number
- 1063694966
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34004375C (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
548 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 473 | $170 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 32 | $208 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $158 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 18 | $121 |
Typical Medicare-allowed amounts for these services range $121–$208 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Progesterone, Micronizedbrand: Progesterone | 35 | 14 |
| Thyroid,porkbrand: Armour Thyroid | 34 | — |
| Metformin Hcl | 33 | 13 |
| Hydrocortisone | 27 | — |
| Amlodipine Besylate | 23 | — |
| Thyroid,porkbrand: NP Thyroid | 19 | — |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-03
- Last updated
- 2012-01-03
Frequently asked questions
- What is Theodore Cole's NPI number?
- Theodore Cole's National Provider Identifier (NPI) is 1063694966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Cole's specialty?
- Theodore Cole is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Cole located?
- Theodore Cole's practice location on file with NPPES is 7760 University Ct, West Chester, OH 45069-3371.
- What is Theodore Cole's phone number?
- The practice phone number listed in the NPPES registry for Theodore Cole is (513) 563-4321.
- Does Theodore Cole accept Medicare?
- Theodore Cole is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Cole's NPI active?
- Yes — Theodore Cole's NPI (1063694966) is active in the NPPES registry as of the last update on 2012-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.