AUDRA COLE (D.O.) – Obstetrics & Gynecology Physician, NPI 1104210830
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
314 OBSTETRICS/GYNECOLOGY in AR
Provider Addresses for AUDRA COLE (D.O.)
1609 W 40TH AVE STE 201
PINE BLUFF, AR 716036367
Phone: (708) 534-2016
Type: Mailing
1200 SE 28TH ST STE 2
BENTONVILLE, AR 727124641
Phone: (479) 271-0005
Fax: (479) 273-1427
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $935.
Total Amount is formed as General ($935) + Research ($0) + Ownership ($0) = $935.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($303).
Total Amount
$935
General + Research + Ownership
Payments
47
Total payment records
General Amount
$935
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190624000611 | I | Obstetrics/Gynecology | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 71603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR |
Reviews
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