Physician

James D Cole, MD

According to 2025 Medicare claims, James Cole, MD (NPI: 1033108931) practices ophthalmology in the Las Cruces, NM market, with the plurality of this provider's patient population coming from Dona Ana, NM. This provider's primary affiliated billing organization is MARC ELLMAN, M.D., P.A. (NPI: 1053530907; TIN: 201186648) and primary practice location at 79936-5922.

Cole's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 657 traditional Medicare patients, billed 2,882 HCPCS/CPT codes, and received $413,249 in Medicare payments. The top billing code was 66982 (Complex removal of cataract with insertion of prosthetic lens). Part D data shows 98 prescription claims across 49 beneficiaries totaling $3,870 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). 2017 DME data shows 30 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $479,500 and ending at $413,249. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $101,125 to $3,870. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$240K$479K2015 Medicare payment: $479,500 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $419,651 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $123,425 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $316,058 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $320,008 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $206,172 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $295,719 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $431,566 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $408,555 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $413,249 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,6183,241$479,500
20161,3352,840$419,651
2017424838$123,425
20185051,468$316,058
20194011,324$320,008
2020289921$206,172
20214311,131$295,719
20226961,507$431,566
20236632,704$408,555
20246572,882$413,249

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$51K$103K2015 Drug cost: $101,125 (USD; Tot_Drug_Cst)2016 Drug cost: $102,592 (USD; Tot_Drug_Cst)2017 Drug cost: $32,684 (USD; Tot_Drug_Cst)2018 Drug cost: $33,357 (USD; Tot_Drug_Cst)2019 Drug cost: $18,167 (USD; Tot_Drug_Cst)2020 Drug cost: $10,791 (USD; Tot_Drug_Cst)2021 Drug cost: $7,952 (USD; Tot_Drug_Cst)2022 Drug cost: $6,694 (USD; Tot_Drug_Cst)2023 Drug cost: $16,076 (USD; Tot_Drug_Cst)2024 Drug cost: $3,870 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015312841$101,125
20162891,278$102,592
2017139446$32,684
2018134306$33,357
201976159$18,167
202063127$10,791
20215087$7,952
202294113$6,694
2023249288$16,076
20244998$3,870

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$4.6K$9.3K2015 Medicare payment: $9,269 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $4,926 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,644 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015177177$9,269
20167575$4,926
20173030$1,644
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
66982Complex removal of cataract with insertion of prosthetic lens3345$553
66984Removal of cataract with insertion of prosthetic lens394679$410
66821Removal of recurring cataract in lens capsule using a laser131172$238
92136Measurement of corneal curvature and depth of eye4971,114$19
68841Insertion of drug delivery implant into tear duct of eye420737$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate391,499$2,118
GabapentinGabapentin11326$156

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for James D. Cole, MD?

Tedicare shows public-source Medicare data for James D. Cole, MD (NPI 1033108931), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James D. Cole, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James D. Cole, MD?

James D. Cole, MD is linked to MARC ELLMAN, M.D., P.A. (billing NPI 1053530907) in the available physician profile data.

Does James D. Cole, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.