Physician

Adam Isaac Cole, MD

According to 2025 Medicare claims, Adam Cole, MD (NPI: 1306295845) practices urology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is NORTH SHORE-LIJ MEDICAL PC (NPI: 1053688572; TIN: 113506359) and primary practice location at 11530-5747. Cole is affiliated with the Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Cole's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 410 traditional Medicare patients, billed 1,222 HCPCS/CPT codes, and received $127,472 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 1,138 prescription claims across 345 beneficiaries totaling $47,455 in drug costs, led by Myrbetriq (Mirabegron). Open Payments data shows 5 records totaling $174. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $5,364 to $47,455. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	79	129	$18,919
2022	287	719	$90,202
2023	372	1,022	$106,453
2024	410	1,222	$127,472

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	18	42	$5,364
2017	168	322	$6,667
2018	30	52	$2,015
2019	49	79	$3,871
2020	49	80	$8,069
2021	63	122	$9,924
2022	209	729	$66,325
2023	321	983	$57,962
2024	345	1,138	$47,455

DME Billing Trend

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

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
52000	Diagnostic exam of bladder and urethra using an endoscope	50	54	$211
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$145
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	209	$107
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	144	182	$78
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	101	113	$15

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	27	1,050	$15,047
Tamsulosin Hcl	Tamsulosin Hcl	424	29,924	$5,997
Testosterone	Testosterone	32	1,500	$5,826
Mirabegron Er	Mirabegron	12	420	$3,243
Trospium Chloride	Trospium Chloride	64	3,342	$2,594

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$174	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Adam Isaac Cole, MD?

Tedicare shows public-source Medicare data for Adam Isaac Cole, MD (NPI 1306295845), 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 Adam Isaac Cole, MD have ACO affiliation data?

Adam Isaac Cole, MD is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Adam Isaac Cole, MD?

Adam Isaac Cole, MD is linked to NORTH SHORE-LIJ MEDICAL PC (billing NPI 1053688572) in the available physician profile data.

Does Adam Isaac Cole, MD have Open Payments data?

Adam Isaac Cole, MD has 5 connected Open Payments records in the available 2024 summary 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.