DR. GREGORY ADAMS PLOTNIKOFF MD
NPI 1053578716
Internal Medicine in Minneapolis, MN

Q: What is Gregory Plotnikoff's NPI number?

The NPI number for Gregory Plotnikoff is 1053578716. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Gregory Plotnikoff's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: Is Gregory Plotnikoff enrolled in Medicare?

No. Gregory Plotnikoff has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since May 20, 2008Opted out of Medicare · through Jan 1, 2028

2833 CHICAGO AVE, MINNEAPOLIS, MN 55407(612) 863-3333 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gregory Adams Plotnikoff Md NPPES

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

DR. GREGORY ADAMS PLOTNIKOFF MD (NPI 1053578716) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (34265) and active in the NPI registry since May 2008. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053578716

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GREGORY ADAMS PLOTNIKOFFCredential: MD

Location Address2833 CHICAGO AVEMinneapolis, MN 55407-1319

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(612) 863-3333

Sole ProprietorYes

Enumeration DateMay 20, 2008

Last NPPES UpdateDecember 2, 2011

✔ NPI 1053578716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 34265

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2833 CHICAGO AVE, Minneapolis, MN 55407

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Other Identifiers 3

Medicare PIN110012409MN

Medicare UPINE82030MN

Medicaid091708700MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gregory Adams Plotnikoff Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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 9

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

WYATT JAMES O'DAY MD

Emergency Medicine