DR. ELIZABETH K PLOCHER M.D.
NPI 1063655629
Orthopaedic Surgery - Hand Surgery in Bloomington, IL

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704(309) 663-6461(309) 663-5711 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2019, Jul 18, 2018, Jun 20, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Elizabeth K Plocher M.d. NPPES

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

DR. ELIZABETH K PLOCHER M.D. (NPI 1063655629) is an individual hand surgery provider in Bloomington, Illinois, licensed in Illinois (036.145922) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1063655629
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameDR. ELIZABETH K PLOCHERCredential: M.D.
Location Address1111 TRINITY LN STE 111Bloomington, IL 61704
Mailing Address303 N William Kumpf BlvdPeoria, IL 61605-2507 · (309) 676-5546 · Fax (309) 676-5045
Fax(309) 663-5711
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 13, 2009
Last NPPES UpdateDecember 9, 20194 updates tracked since enumeration
NPI 1063655629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IL · 036.145922
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036.145922 (IL)
1111 TRINITY LN STE 111, Bloomington, IL 61704

Secondary Practice Location 1

Location 1303 N William Kumpf BlvdPeoria, IL 61605-2507 · Phone (309) 676-5546 · Fax (309) 676-5045

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

Dr. Elizabeth K Plocher 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 ID5092935981
PECOS Enrollment IDI20180911003072
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
372 services126 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.
206 services128 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
173 services76 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
119 services53 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
93 services51 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.
88 services78 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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

Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
27%120 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%121 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%182 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%182 patients4/55-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 CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
49%182 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%182 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier26 claims30 services$54.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Podiatrist (Foot & Ankle Surgery)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Durable Medical Equipment & Medical Supplies
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physician Assistant
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Family Medicine (Sports Medicine)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Occupational Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704

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 Elizabeth Plocher's NPI number?

The NPI number for Elizabeth Plocher is 1063655629. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Elizabeth Plocher located?

Elizabeth Plocher practices at 1111 Trinity Ln Ste 111, Bloomington, IL 61704. The listed phone number is (309) 663-6461.

What is Elizabeth Plocher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Elizabeth Plocher enrolled in Medicare?

Yes. Elizabeth Plocher 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 Elizabeth Plocher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Elizabeth Plocher 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 Elizabeth Plocher affiliated with any hospitals?

According to CMS data, Elizabeth Plocher is affiliated with St Mary Medical Center, Saint Francis Medical Center, St Joseph Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Plocher was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.