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JAMES L PLOTNIK M.D.
NPI 1013907716
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Phoenix, AZ

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
1920 E CAMBRIDGE AVE STE 203, PHOENIX, AZ 85006(602) 933-3937(602) 933-2409 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About James L Plotnik M.d. NPPES

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

JAMES L PLOTNIK M.D. (NPI 1013907716) is an individual pediatric ophthalmology and strabismus specialist in Phoenix, Arizona, licensed in Arizona (21532) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1989).

NPPES Registry Identity

NPI1013907716
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameJAMES L PLOTNIKCredential: M.D.
Location Address1920 E CAMBRIDGE AVE STE 203Phoenix, AZ 85006
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814
Phone(602) 933-3937
Fax(602) 933-2409
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1989
Enumeration DateOctober 24, 2005
Last NPPES UpdateMay 31, 20182 updates tracked since enumeration
✔ NPI 1013907716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in AZ · 21532
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 21532 (AZ)
1920 E CAMBRIDGE AVE STE 203, Phoenix, AZ 85006
Open in Google Maps ↗

Other Identifiers 1

Medicaid465003AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James L Plotnik M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305824103
PECOS Enrollment IDI20040723000775
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
164 services138 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
103 services103 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
89 services68 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
65 services60 patients
Realignment of horizontal eye muscle 67311
Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.
41 services38 patients
Realignment of eye muscle following injury or eye surgery 67331
Realignment of eye muscles is a procedure performed to correct issues with eye movement or alignment, often due to injury or past surgery. It involves adjusting the muscles that control eye movement to improve coordination and focus, enhancing visual function.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JAMES W ONEIL M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
1920 E CAMBRIDGE AVE STE 203
PHOENIX, AZ 85006
Maricopa County (602) 933-3937

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 James Plotnik's NPI number?

The NPI number for James Plotnik is 1013907716. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is James Plotnik located?

James Plotnik practices at 1920 E Cambridge Ave Ste 203, Phoenix, AZ 85006. The listed phone number is (602) 933-3937.

What is James Plotnik's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is James Plotnik enrolled in Medicare?

Yes. James Plotnik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for James Plotnik was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.