TIMOTHY PLANK DO NPI 1003802141

Family Medicine in Elyria, OH

Individual Male Family Medicine PECOS Enrolled Accepts Medicare Years Experience 32

About TIMOTHY PLANK

Timothy Plank is a provider established in Elyria, Ohio and his medical specialization is family medicine with more than 32 years of experience. The NPI number of Timothy Plank is 1003802141 and was assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 34004783 (OH). The provider is registered as an individual and his NPI record was last updated one year ago. Timothy Plank is enrolled in PECOS and registered with Medicare but might not accept claims assignment.

NPI

1003802141

Provider Name TIMOTHY PLANK DO
Provider Location Address10325 DEWHURST RD ELYRIA, OH 44035
Provider Mailing Address16600 W SPRAGUE RD STE 120 MIDDLEBURG HEIGHTS, OH 44130
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO UNIVERSITY OF OSTEO MEDICINE
Graduation Year1988
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-23-2005
Last Update Date05-17-2018

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.34004783
License StateOH
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

TIMOTHY PLANK DO
10325 DEWHURST RD
ELYRIA, OH
ZIP 44035
Phone: (440) 414-9260
Fax: (440) 365-8826

Get Directions

Mailing Address

TIMOTHY PLANK DO
16600 W SPRAGUE RD STE 120
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 826-0500
Fax: (440) 826-0501

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2769409481
PECOS Enrollment IDI20051101000281
Accepts Medicare Assignment? N/A "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program Yes "Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 188Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 167Administration of pneumococcal vaccine (HCPCS:G0009)
  • 161Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 120Urinalysis, manual test (HCPCS:81002)
  • 108Administration of influenza virus vaccine (HCPCS:G0008)
  • 67Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 26Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 21Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
PARMA COMMUNITY GENERAL HOSPITAL360041
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER360145

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0860564MEDICAID (05)OH

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043614704WILLIAM J SCOTT DPM INC
Organization
Podiatrist10325 DEWHURST RD
ELYRIA, OH 44035
(440) 973-8199
1154391647DR. KAMALESWARY RAVICHANDRAN MD
Individual
Internal Medicine10325 DEWHURST RD
ELYRIA, OH 44035
(440) 414-9260
1356315949DR. DIANE HUEY MD
Individual
Internal Medicine (Geriatric Medicine)10325 DEWHURST RD
ELYRIA, OH 44035
(440) 414-9260
1356776975 JEANINE R WILLIS CNP
Individual
Nurse Practitioner (Family)10325 DEWHURST RD
ELYRIA, OH 44035
(440) 414-9260
1497733075DR. MUSHTAQ MAHMOOD MD.
Individual
Internal Medicine (Adolescent Medicine)10325 DEWHURST RD OHIO MEDICAL GROUP
ELYRIA, OH 44035
(440) 414-9260
1639149131DR. ABDELKARIM WANESS MD
Individual
Internal Medicine10325 DEWHURST RD
ELYRIA, OH 44035
(440) 366-3600
1669695516 WILLIAM J SCOTT D.P.M.
Individual
Podiatrist10325 DEWHURST RD
ELYRIA, OH 44035
(440) 973-8199
1831138601DR. MATTHEW S SCHAEFFER MD
Individual
Family Medicine10325 DEWHURST RD
ELYRIA, OH 44035
(440) 414-9260
1831169333DR. DEBORAH ANNE VICARIO MD
Individual
Family Medicine10325 DEWHURST RD
ELYRIA, OH 44035
(440) 414-9260
1841715737 CARRIE LOUISE ORTIZ CNP-C
Individual
Nurse Practitioner (Family)10325 DEWHURST RD
ELYRIA, OH 44035
(440) 414-9260

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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