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MR. GILBERT OSCAR PLASENCIA M.D.
NPI 1043245822
Internal Medicine - Cardiovascular Disease in Corona, CA

Active since July 11, 2006PECOS Enrolled
2250 S MAIN ST, SUITE #201, CORONA, CA 92882(951) 734-4880(951) 734-7963 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Gilbert Oscar Plasencia M.d. NPPES

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

MR. GILBERT OSCAR PLASENCIA M.D. (NPI 1043245822) is an individual cardiovascular disease provider in Corona, California, licensed in California (G33034) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043245822
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. GILBERT OSCAR PLASENCIACredential: M.D.
Location Address2250 S MAIN ST, SUITE #201Corona, CA 92882-5302
Mailing Address2250 S Main St, Suite #201Corona, CA 92882-5302 · (951) 734-4880 · Fax (951) 734-7963
Phone(951) 734-4880
Fax(951) 734-7963
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 8, 2013
✔ NPI 1043245822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · G33034
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2250 S MAIN ST, Corona, CA 92882
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA45393CA
Medicare PIN00G330340CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gilbert Oscar Plasencia M.d. 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

3

Medicare enrollment records show Gilbert Plasencia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Circle City Ekg Reading Panel,inc
Same address
Specialist
2250 S MAIN ST, STE 201
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1891938155 (951) 734-4880
Corona Health Specialty Associates, LLC
1.4 mi
Urgent Care
308 W 6TH ST STE 101
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1659971042 (951) 737-0910
Citrus Valley Medical Associates, Inc.
5.0 mi
Family Medicine
1901 TOWN AND COUNTRY DR, SUITE 104
Norco, CA 92860
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1306033709 (951) 737-8141

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

Areas of Expertise CMS Part B claims 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
888 services637 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services106 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
81 services81 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
74 services73 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
34 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92882 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
97%1,140 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
6%1,433 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%371 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
1%119 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
0%988 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
16%453 patients1/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
13%354 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 99% · 450 patients
100%450 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
3%1,197 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
20%1,197 patients2/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
2%1,197 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

INTEGRATED MEDICAL CENTER OF CORONA INC.
Clinic/Center (Multi-Specialty)
2250 S MAIN ST, SUITE 203
CORONA, CA 92882
Riverside County (951) 737-1252
MR. L R ROBERTO MOSCOSO M.D.
Internal Medicine (Cardiovascular Disease)
2250 S MAIN ST, SUITE #201
CORONA, CA 92882
Riverside County (951) 734-4880
NICOLE RAE NEWMAN PA-C
Physician Assistant
2250 S MAIN ST, STE. 106
CORONA, CA 92882
Riverside County (951) 371-2703
MISSION SURGICAL GROUP
Clinic/Center (Medical Specialty)
2250 S MAIN ST, SUITE 206
CORONA, CA 92882
Riverside County (951) 278-8870
DR. SARAH SANTOS D.C.
Chiropractor
2250 S MAIN ST, #203
CORONA, CA 92882
Riverside County (951) 737-1252
MRS. SRINIDHI EKKATI PA-C
Physician Assistant (Medical)
2250 S MAIN ST, SUITE 201
CORONA, CA 92882
Riverside County (951) 734-4880
PARKER ELIAS MCDONALD
Chiropractor
2250 S MAIN ST
CORONA, CA 92882
Riverside County (800) 595-2447
INLAND HEART DOCTORS MEDICAL GROUP
Internal Medicine (Cardiovascular Disease)
2250 S MAIN ST, SUITE 201
CORONA, CA 92882
Riverside County (951) 734-4880

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 Gilbert Plasencia's NPI number?

The NPI number for Gilbert Plasencia is 1043245822. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Gilbert Plasencia located?

Gilbert Plasencia practices at 2250 S Main St Suite #201, Corona, CA 92882. The listed phone number is (951) 734-4880.

What is Gilbert Plasencia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gilbert Plasencia enrolled in Medicare?

Yes. Gilbert Plasencia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gilbert Plasencia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilbert Plasencia reassigns Medicare benefits to 3 organizations: Circle City Ekg Reading Panel,inc (Corona, CA), Corona Health Specialty Associates, LLC (Corona, CA) and Citrus Valley Medical Associates, Inc. (Norco, CA). 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 Gilbert Plasencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gilbert Plasencia was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.