ALLISON PLUMMER MSSW
NPI 1053704213
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Q: What is Allison Plummer's NPI number?

The NPI number for Allison Plummer is 1053704213. It was assigned to this individual provider in the NPPES registry on March 12, 2015.

Q: What is Allison Plummer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Allison Plummer was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 12, 2015PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

1102 S PARK ST, MADISON, WI 53715(608) 282-8270(608) 287-5992 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Jan 12, 2021 (2 updates tracked since 2021).

On this page

About Allison Plummer Mssw NPPES

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

ALLISON PLUMMER MSSW (NPI 1053704213) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (15697) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053704213

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameALLISON PLUMMERCredential: MSSW

Location Address1102 S PARK STMadison, WI 53715-1708

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 282-8270

Fax(608) 287-5992

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 12, 2015

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2022

✔ NPI 1053704213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 15697

1102 S PARK ST, Madison, WI 53715

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

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

Allison Plummer Mssw 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 ID7517285919

PECOS Enrollment IDI20150415001493

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 4

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.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

236 services39 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

95 services25 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

18 services12 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

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.

77.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.83

Promoting Interoperability

Improvement Activities

Cost

62.12

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.

CAITLIN J REGNER MD

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