2026 NPPES data Family Medicine Physician NPI 1093005324 M.D.
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BENJAMIN COLE, M.D.

Family Medicine Physician in SILVERTHORNE, Colorado. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 272 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.2296/100
▲ 5 pts above national avg 83.1 · [object Object]

What the federal data shows

BENJAMIN COLE, M.D. reported a CMS MIPS final score of 88.2296/100 — above the 83.1 national average — and filed 3,733 Medicare Part D claims in 2023.

88.2296/100
MIPS score · +5 vs avg
4K
Part D claims, 2023
91%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

BENJAMIN COLE, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

88 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

BENJAMIN COLE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about BENJAMIN COLE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/07/2011

NPI 1093005324

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,733 9% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

88.2296/100 5.129600000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Family Medicine Physician compares to other specialties among Colorado providers

Colorado providers

Family Medicine Physician share within Colorado

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Colorado

Medicare quality performance — MIPS

BENJAMIN COLE, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
88.2296/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 88.2296/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Family Medicine Physician) — 88.2296/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BENJAMIN COLE, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 265 TANGLEWOOD LANE, SILVERTHORNE, CO, 80498, with a listed phone of (970) 468-1003. NPI 1093005324 was issued on 04/07/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COLE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,733 prescription claims written by this provider, covering 272 Medicare beneficiaries and totaling roughly $295K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 1.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.2296/100 for the 2023 performance year (Quality 88.9629), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

265 TANGLEWOOD LANE
SILVERTHORNE, CO 80498

Provider Details

NPI 1093005324
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 04/07/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.2296
Final Score
Avg: 83.1
88.9629
Quality
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BENJAMIN COLE, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CATHOLIC HEALTH INITIATIVES COLORADO
WOODLAND PARK, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

BENJAMIN COLE, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 3,733 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,733
Total Claims
$295K
Total Drug Cost
272
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,736
Total Day Supply
288,982
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$237K
Generic Drug Cost
$58K
Opioid Claims
39 (1.0% rate)
Antibiotic Claims
32

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.19
Gender Split
48% female / 52% male
Age Distribution
<65: 33, 65-74: 128, 75-84: 95, 85+: 16

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What BENJAMIN COLE, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
360
Lisinopril
187
Levothyroxine Sodium
182
Amlodipine Besylate
117
Metformin Hcl
113
Hydrochlorothiazide
90
Omeprazole
88
Tizanidine Hcl
82
Metformin Hcl Er
Metformin Hcl
81
Tamsulosin Hcl
80

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How BENJAMIN COLE, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

BENJAMIN COLE, M.D.'s 3,733 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as COLE.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BENJAMIN COLE, M.D.'s specialty?
BENJAMIN COLE, M.D. specializes in Family Medicine Physician and practices in SILVERTHORNE, Colorado. Credentials: M.D..
How much does BENJAMIN COLE, M.D. prescribe under Medicare Part D?
In 2023, BENJAMIN COLE, M.D. wrote 3,733 Medicare Part D claims totaling $295K in drug costs for 272 beneficiaries.
What is BENJAMIN COLE, M.D.'s Medicare quality score?
BENJAMIN COLE, M.D. has a CMS MIPS Final Score of 88.2296/100 (Quality: 88.9629). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENJAMIN COLE, M.D. located?
BENJAMIN COLE, M.D. is located at 265 TANGLEWOOD LANE, SILVERTHORNE, CO, 80498. Phone: (970) 468-1003.
What is BENJAMIN COLE, M.D.'s NPI number?
BENJAMIN COLE, M.D.'s National Provider Identifier (NPI) is 1093005324, issued on 04/07/2011.
Does BENJAMIN COLE, M.D. prescribe more brand-name or generic drugs?
BENJAMIN COLE, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $237K in brand drug costs.
Does BENJAMIN COLE, M.D. prescribe opioids?
Yes, BENJAMIN COLE, M.D. had 39 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does BENJAMIN COLE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BENJAMIN COLE, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENJAMIN COLE, M.D. accept Medicare?
BENJAMIN COLE, M.D. appears in CMS Medicare data with 3,733 Part D claims and 272 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN COLE, M.D.'s credentials?
BENJAMIN COLE, M.D.'s NPI is 1093005324 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology