John Cole, M.D.
Pediatrics Physician in Kalispell, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 81,773 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
John Cole, M.D. filed 525 Medicare Part D claims in 2024 as a Pediatrics Physician in Kalispell, Montana, prescribing 0% generic.
- 525
- Part D claims, 2024
- 0%
- generic prescribing
- ≥65th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about John Cole, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1508181454), first enumerated 04/05/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 525 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1508181454 · Pediatrics Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1508181454
- ENUM-MID 2010
- TAX-MEGA 82K Pediatrics Physician
- RX-LIGHT 525
- BOOK-THIN 163 in Montana
- PHOTO-ENUM Samuel Kessel · 2010
John Cole, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
525 ≥ 65th percentile 65% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
John Cole, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about John Cole, M.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Montana
How Pediatrics Physician compares to other specialties among Montana providers
Pediatrics Physician ranks #31 among Montana's specialties (0.7% of in-state providers)
Each bar is a specialty's share of the Montana provider total, by primary NUCC taxonomy. The highlighted bar is Pediatrics Physician; the long tail of smaller specialties is omitted for legibility.
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatrics Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1508181454 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/05/2010 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm John Cole, M.D.'s current license status, disciplinary history, and board certifications with the Montana Board of Medical Examiners in Montana before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1508181454 is the unique 10-digit identifier CMS uses to link Cole across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
Brand vs generic prescribing mix · Brand-heavy
100% brand-name claims vs 0% generic, on 525 2024 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 2024.
Prescribing Breakdown
- 30-Day Fills
- 525
- Total Day Supply
- 5,397
- Brand vs Generic
- 100% brand / 0% generic
- Brand Drug Cost
- $106K
- Generic Drug Cost
- $0
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 0.90
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 11, 65-74: 168, 75-84: 111, 85+: 27
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What John Cole, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Shingrix
Shingrix
133 claims
- Abrysvo
Abrysvo
125 claims
- Boostrix Tdap
Boostrix Tdap
78 claims
- Typhim Vi
Typhim Vi
56 claims
- Havrix 39
Havrix
39 claims
- Yf-Vax 20
Yf-Vax
20 claims
- Menquadfi 17
Menquadfi
17 claims
- Twinrix 15
Twinrix
15 claims
| Drug | Claims |
|---|---|
| Shingrix Varicella-Zoster Ge/As01b/Pf | 133 |
| Abrysvo Rsv Vacc, Pref A And Pref B/Pf | 125 |
| Boostrix Tdap Diphth,pertuss(Acell),tet Vac | 78 |
| Typhim Vi Typhoid Vi Polysacch Vaccine | 56 |
| Havrix Hepatitis A Virus Vaccine/Pf | 39 |
| Yf-Vax Yellow Fever Vaccine Live/Pf | 20 |
| Menquadfi Mening Vac A,c,y,w135,c-Tet/Pf | 17 |
| Twinrix Hepatitis A And B Vaccine/Pf | 15 |
| Ixiaro Japanese Encephalitis Vacc/Pf | 14 |
| Bexsero Meningococcal B Vaccine,4-Comp | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How John Cole, M.D. fits within the Pediatrics Physician landscape nationally.
John Cole, M.D.'s 525 claims are below the specialty average of 818.
Nationwide Pediatrics Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Cole, both outside Montana so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatrics Physician Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Cole.
One of 163 Pediatrics Physician providers enrolled in Montana, 5 are shown here.
Compare Pediatrics Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Cole, M.D.'s specialty? ▼
How much does John Cole, M.D. prescribe under Medicare Part D? ▼
Where is John Cole, M.D. located? ▼
What is John Cole, M.D.'s NPI number? ▼
Does John Cole, M.D. prescribe more brand-name or generic drugs? ▼
How many Pediatrics Physician providers are there in the US? ▼
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Does John Cole, M.D. accept Medicare? ▼
How can I verify John Cole, M.D.'s credentials? ▼
Data Sources
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.
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