MR. DYLAN THOMAS PLOCKI PA-C
NPI 1053879502
Physician Assistant in Greensboro, NC

Active since March 04, 2019PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
3200 NORTHLINE AVE STE 200, GREENSBORO, NC 27408(336) 545-5000(336) 545-5020 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2025, Apr 4, 2019, Mar 4, 2019 (3 updates tracked since 2019).

About Mr. Dylan Thomas Plocki Pa-c NPPES

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

MR. DYLAN THOMAS PLOCKI PA-C (NPI 1053879502) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (0010-08998) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1053879502
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DYLAN THOMAS PLOCKICredential: PA-C
Location Address3200 NORTHLINE AVE STE 200Greensboro, NC 27408-7602
Mailing Address3200 Northline Ave Ste 200Greensboro, NC 27408-7602 · (336) 545-5000 · Fax (336) 545-5020
Fax(336) 545-5020
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 4, 2019
Last NPPES UpdateMarch 9, 20253 updates tracked since enumeration
NPPES CertifiedMarch 9, 2025
NPI 1053879502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-08998
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3200 NORTHLINE AVE STE 200, Greensboro, NC 27408

Secondary Practice Location 1

Location 1170 Kimel Park DrWinston Salem, NC 27103-6946 · Phone (336) 768-1270

Other Identifiers 2

Other397730042NC · Nsc#
Other561079264NC · Physicians Assistant

Accepted 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

Mr. Dylan Thomas Plocki Pa-c 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 ID7517209901
PECOS Enrollment IDI20240726003845
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 2

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.

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.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27408 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

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.

Orthopaedic Surgery
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408
Nurse Practitioner
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408
Physician Assistant
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408
Occupational Therapist
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408
Physician Assistant
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408
Physician Assistant
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408
Physician Assistant
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408
Orthopaedic Surgery (Hand Surgery)
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408

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 Dylan Plocki's NPI number?

The NPI number for Dylan Plocki is 1053879502. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Dylan Plocki located?

Dylan Plocki practices at 3200 Northline Ave Ste 200, Greensboro, NC 27408. The listed phone number is (336) 545-5000.

What is Dylan Plocki's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dylan Plocki enrolled in Medicare?

Yes. Dylan Plocki 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.

What insurance does Dylan Plocki accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Dylan Plocki 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.

Is Dylan Plocki affiliated with any hospitals?

According to CMS data, Dylan Plocki is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Dylan Plocki was last updated on March 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.