1. Home
  2. Directory
  3. Kansas
  4. Topeka
  5. Pediatrics
  6. NPI Profile

DR. JOHN SAMUEL PLOWDEN JR. MD
NPI 1003814856
Pediatrics - Pediatric Cardiology in Topeka, KS

Active since July 13, 2005PECOS Enrolled
77.82/100
CMS Quality Rating
929 SW MULVANE ST, TOPEKA, KS 66606(785) 270-4100(785) 270-4202 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 18, 2019, Jan 4, 2019, Dec 21, 2018 and 3 more (6 updates tracked since 2015).

About Dr. John Samuel Plowden Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN SAMUEL PLOWDEN JR. MD (NPI 1003814856) is an individual pediatric cardiology provider in Topeka, Kansas, licensed in Kansas (04-41634) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003814856
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JOHN SAMUEL PLOWDEN JR.Credential: MD
Location Address929 SW MULVANE STTopeka, KS 66606
Mailing Address1500 Sw 10th Ave, Medical Staff ServicesTopeka, KS 66604-1301 · (785) 354-6241 · Fax (785) 270-4343
Phone(785) 270-4100
Fax(785) 270-4202
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateJanuary 18, 20196 updates tracked since enumeration
✔ NPI 1003814856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in KS · 04-41634✔ Licensed in MO · 2014006064
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
929 SW MULVANE ST, Topeka, KS 66606
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Childrens Pl Ste C, Ste CSaint Louis, MO 63110-1002 · Phone (314) 454-6095 · Fax (314) 454-2561
Location 22401 Gillham RdKansas City, MO 64108 · Phone (816) 234-3000 · Fax (816) 302-9939

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Samuel Plowden Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Plowden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
691 mi
Family Medicine
12 MEDICAL DR NE
Cartersville, GA 30121
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • Also billed through NPI 1275992240 (South Carolina)
  • 3,885 clinicians in this Medicare group
NPI 1588059653 (770) 386-1000
Au Medical Associates Inc
856 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES PATRICK BIRKBECK MD
Internal Medicine (Cardiovascular Disease)
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4100
STEVEN E SEALS MD
Internal Medicine (Clinical Cardiac Electrophysiology)
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4100
CHELSEY D CAPOUN APRN
Nurse Practitioner
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4100
DR. CRAIG F GERNON MD
Internal Medicine (Cardiovascular Disease)
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4100
ORVEL WARREN MEYER M.D.
Internal Medicine (Cardiovascular Disease)
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4100
DR. HISHAM HAKEEM MD
Internal Medicine (Cardiovascular Disease)
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4100
ROBERT SAMUEL MANKE
Nurse Practitioner
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-8625
LAMBERT A WU M.D.
Internal Medicine (Cardiovascular Disease)
929 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Plowden's NPI number?

The NPI number for John Plowden is 1003814856. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is John Plowden located?

John Plowden practices at 929 SW Mulvane St, Topeka, KS 66606. The listed phone number is (785) 270-4100.

What is John Plowden's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is John Plowden enrolled in Medicare?

Yes. John Plowden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Plowden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Plowden reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Cartersville, GA) and Au Medical Associates Inc (Augusta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Plowden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Plowden accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list John Plowden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Plowden was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.