Cole Houston, MD
NPI 1396036463 · Family Medicine Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cole Houston, MD is a Family Medicine Physician provider in San Diego, CA (NPI 1396036463).
Provider details
- NPI number
- 1396036463
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 148047 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 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
294 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 113 | $182 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 102 | $125 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 40 | $8 |
| X-Ray of Chest, 1 View71045 | 22 | $9 |
| Critical Care, First 30-74 Minutes99291 | 17 | $222 |
Typical Medicare-allowed amounts for these services range $8–$222 (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 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ibuprofen | 41 | 39 |
| Prednisone | 35 | 30 |
| Naproxen | 33 | 33 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 24 | 24 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 18 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 17 | 17 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-25
- Last updated
- 2020-07-02
- Certified
- 2020-07-02
Frequently asked questions
- What is Cole Houston's NPI number?
- Cole Houston's National Provider Identifier (NPI) is 1396036463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cole Houston's specialty?
- Cole Houston is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cole Houston located?
- Cole Houston's practice location on file with NPPES is 4033 3rd Ave Ste 400, San Diego, CA 92103-2140.
- What is Cole Houston's phone number?
- The practice phone number listed in the NPPES registry for Cole Houston is (888) 883-8658.
- Does Cole Houston accept Medicare?
- Cole Houston is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cole Houston's NPI active?
- Yes — Cole Houston's NPI (1396036463) is active in the NPPES registry as of the last update on 2020-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.