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JESSICA RAE PLOTNIKOV MD
NPI 1073141123
Psychiatry & Neurology - Psychiatry in New Square, NY

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
728 N MAIN ST, NEW SQUARE, NY 10977(845) 345-9300 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Rae Plotnikov Md NPPES

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

JESSICA RAE PLOTNIKOV MD (NPI 1073141123) is an individual psychiatry provider in New Square, New York, licensed in New York (327725) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073141123
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJESSICA RAE PLOTNIKOVCredential: MD
Location Address728 N MAIN STNew Square, NY 10977-8916
Mailing Address728 N Main StNew Square, NY 10977-8916 · (845) 354-9300
Phone(845) 345-9300
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1073141123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 327725
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
728 N MAIN ST, New Square, NY 10977
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Rae Plotnikov Md 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 ID3476054958
PECOS Enrollment IDI20250827002739
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 Reassignment

Medicare enrollment records show Jessica Plotnikov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Refuah Health Center Inc
Same address
Federally Qualified Health Center (FQHC)
728 N MAIN ST
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 206 clinicians in this Medicare group
NPI 1669470019 (845) 354-9300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10977 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

YONATAN ELSTEIN MD
Pediatrics
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
REFUAH HEALTH CENTER, INC.
Internal Medicine (Medical Oncology)
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
DR. RONEN HIZAMI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Rockland County (845) 354-9300
DR. TERRY SOBLER ORTHODONTIST
Dentist (Orthodontics and Dentofacial Orthopedics)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Rockland County (845) 354-9300
ARIEL Z FELSEN DDS
Dentist
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
DR. NAVID VOSOUGHI D.M.D
Dentist (Endodontics)
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
JENNIFER GRUNHUT
Physician Assistant
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
SARA HALPERN
Student in an Organized Health Care Education/Training Program
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300

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 Jessica Plotnikov's NPI number?

The NPI number for Jessica Plotnikov is 1073141123. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Jessica Plotnikov located?

Jessica Plotnikov practices at 728 N Main St, New Square, NY 10977. The listed phone number is (845) 345-9300.

What is Jessica Plotnikov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jessica Plotnikov enrolled in Medicare?

Yes. Jessica Plotnikov 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.

Which organization bills Medicare for Jessica Plotnikov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Plotnikov reassigns Medicare benefits to Refuah Health Center Inc (Spring Valley, NY). The 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 Jessica Plotnikov'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 Jessica Plotnikov was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.