ROBERT COLES, MD
Sports Medicine (Orthopaedic Surgery) Physician · MOREHEAD CITY, NC
Individual Active NPI 1417055088
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 590 | 2,684 | $1,115,394 | $336,097 | $256,720 |
| 2023 | 528 | 4,177 | $1,017,232 | $295,453 | $225,654 |
| 2022 | 703 | 7,122 | $1,259,322 | $412,185 | $316,177 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 337 | $87 | $62 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 304 | $122 | $90 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 247 | $7 | $5 |
| 73560 | X-ray of knee, 1-2 views | 143 | $32 | $24 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 141 | $159 | $113 |
| 73030 | X-ray of shoulder, minimum of 2 views | 127 | $33 | $23 |
| 20610 | Aspiration and/or injection of fluid from large joint | 110 | $69 | $48 |
| 73502 | X-ray of hip, 2-3 views | 107 | $43 | $31 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 99 | $99 | $76 |
| 73564 | X-ray of knee, 4 or more views | 81 | $44 | $33 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 62 | $106 | $73 |
| 0055T | Musculoskeletal surgical navigational orthopedic operation using imaging guidance | 57 | $131 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 9900191 | NC |
| Orthopaedic Surgery Physician | 207X00000X | 9900191 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Orthopaedic Surgery) Physician providers in North Carolina
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- NPI 1881740405
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See all Sports Medicine (Orthopaedic Surgery) Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.