Physician

Brian J. Cole, M.D.

According to 2025 Medicare claims, Brian Cole, M.D. (NPI: 1659350379) practices sports medicine in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is ORTHOMIDWEST, PLLC (NPI: 1730136474; TIN: 83-4257679) and primary practice location at 60523-2156. Cole is affiliated with the IRCCO (ACO ID: A2619) and CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under both the MSSP and REACH models.

Cole's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 354 traditional Medicare patients, billed 3,422 HCPCS/CPT codes, and received $101,216 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 128 prescription claims across 55 beneficiaries totaling $2,113 in drug costs, led by Celecoxib (Celecoxib). DME data shows 29 claims. Open Payments data shows 64 records totaling $339,945. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,859 and ending at $2,113. 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	277	698	$63,072
2016	331	786	$82,096
2017	448	1,440	$167,975
2018	411	4,085	$142,309
2019	615	2,565	$164,506
2020	401	2,388	$146,049
2021	435	2,369	$154,941
2022	434	1,691	$127,881
2023	393	2,113	$116,506
2024	354	3,422	$101,216

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	53	91	$2,859
2016	46	75	$1,678
2017	51	89	$2,936
2018	30	52	$1,975
2019	31	48	$791
2020	39	92	$3,840
2021	42	102	$2,767
2022	35	100	$2,522
2023	45	84	$1,699
2024	55	128	$2,113

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	22	22	$1,744
2016	20	21	$1,575
2017	40	40	$3,165
2018	38	39	$3,133
2019	42	44	$3,587
2020	35	37	$3,012
2021	34	36	$2,886
2022	22	22	$1,916
2023	26	26	$2,443
2024	29	29	$2,739

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	87	110	$69
20610	Aspiration and/or injection of fluid from large joint	56	65	$53
73564	X-ray of knee, 4 or more views	77	101	$30
73030	X-ray of shoulder, minimum of 2 views	122	161	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	32	1,343	$668
Meloxicam	Meloxicam	68	2,400	$355
Diclofenac Sodium	Diclofenac Sodium	14	584	$256

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	29	29	$2,739

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	62	$337,475	Arthrex, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	2	$2,469	Joint Restoration Foundation, Inc.
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 Brian J. Cole, M.D.?

Tedicare shows public-source Medicare data for Brian J. Cole, M.D. (NPI 1659350379), 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 Brian J. Cole, M.D. have ACO affiliation data?

Brian J. Cole, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to Brian J. Cole, M.D.?

Brian J. Cole, M.D. is linked to ORTHOMIDWEST, PLLC (billing NPI 1730136474) in the available physician profile data.

Does Brian J. Cole, M.D. have Open Payments data?

Brian J. Cole, M.D. has 64 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.