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TIFFANY PLUTO D.O.
NPI 1073515441
Family Medicine in Scottdale, PA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
109 CROSSROADS RD, SUITE 201, SCOTTDALE, PA 15683(724) 887-5989(724) 887-0129 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2022, Jan 13, 2021, Oct 16, 2020 (3 updates tracked since 2020).

About Tiffany Pluto D.o. NPPES

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

TIFFANY PLUTO D.O. (NPI 1073515441) is an individual family medicine provider in Scottdale, Pennsylvania, licensed in Pennsylvania (OS010516L) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1073515441
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIFFANY PLUTOCredential: D.O.
Location Address109 CROSSROADS RD, SUITE 201Scottdale, PA 15683-2417
Mailing Address506 Athena DrDelmont, PA 15626-1005 · (724) 468-6869 · Fax (724) 468-6207
Phone(724) 887-5989
Fax(724) 887-0129
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1996
Enumeration DateAugust 15, 2005
Last NPPES UpdateApril 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
✔ NPI 1073515441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS010516L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
109 CROSSROADS RD, Scottdale, PA 15683
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Other Identifiers 1

Medicaid0018717080004PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Tiffany Pluto D.o. 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 ID3971688177
PECOS Enrollment IDI20080312000442
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 6

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.
329 services166 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
130 services130 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
123 services79 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.
53 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
40 services39 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15683 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers36 claims74 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers18 claims18 services$1.03 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
3 suppliers16 claims16 services$9.11 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$6.60 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier12 claims720 services$0.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$26.07 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 14

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

TARA D HALL CRNP
Nurse Practitioner (Family)
109 CROSSROADS RD, SUITE 201
SCOTTDALE, PA 15683
Westmoreland County (724) 887-5989
ALEXIS OLIVIA KLATT
Physical Therapist
109 CROSSROADS RD
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4181
DR. PAUL E MEANS JR. D.O.
Family Medicine
109 CROSSROADS RD, SUITE 201
SCOTTDALE, PA 15683
Westmoreland County (724) 887-5989
ULERY CHIROPRACTIC
Chiropractor
109 CROSSROADS RD, SUITE 206
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4661
STEFANIE SNYDER R.N., CRNP
Nurse Practitioner (Family)
109 CROSSROADS RD, SUITE 201
SCOTTDALE, PA 15683
Westmoreland County (724) 887-3161
HAYLEY E SKOVIRA DPT
Physical Therapist
109 CROSSROADS RD
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4181
SARAH RAAFAT RAFLA MD
Family Medicine
109 CROSSROADS RD
SCOTTDALE, PA 15683
Westmoreland County (724) 887-5989
DR. TODD ALLEN ULERY D.C.
Chiropractor (Sports Physician)
109 CROSSROADS RD, SUITE 206
SCOTTDALE, PA 15683
Westmoreland County (724) 887-4661

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 Tiffany Pluto's NPI number?

The NPI number for Tiffany Pluto is 1073515441. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Tiffany Pluto located?

Tiffany Pluto practices at 109 Crossroads Rd Suite 201, Scottdale, PA 15683. The listed phone number is (724) 887-5989.

What is Tiffany Pluto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tiffany Pluto enrolled in Medicare?

Yes. Tiffany Pluto 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 Tiffany Pluto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Tiffany Pluto 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 Tiffany Pluto affiliated with any hospitals?

According to CMS data, Tiffany Pluto is affiliated with Uniontown Hospital, Magee Womens Hospital Of Upmc Health System, Excela Health Westmoreland Regional Hospital, Penn Highlands Connellsville and Excela Health - Frick Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Pluto was last updated on April 21, 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.