DR. JAMES MICHAEL PLUNKETT M.D.
NPI 1073526000
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Cincinnati, OH
NPI Status: Active since August 14, 2006
Contact Information
3200 VINE ST
117
CINCINNATI, OH
ZIP 45220
Phone: (513) 475-6323
Fax: (513) 487-6624
- Individual
- Male
- Physical Medicine & Rehabilitation
- Spinal Cord Injury Medicine
- PECOS Enrolled
About JAMES PLUNKETT
This page provides the complete NPI Profile along with additional information for James Plunkett, a provider established in Cincinnati, Ohio with a medical specialization in Physical Medicine & Rehabilitation, focusing in spinal cord injury medicine . The healthcare provider is registered in the NPI registry with number 1073526000 assigned on August 2006. The practitioner's primary taxonomy code is 2081P0004X with license number 35-068633 (OH). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1073526000
- Provider Name
- DR. JAMES MICHAEL PLUNKETT M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3200 VINE ST 117 CINCINNATI, OH 45220
- Location Phone
- (513) 475-6323
- Location Fax
- (513) 487-6624
- Mailing Address
- 2485 KREMERS LN VILLA HILLS, KY 41017
- Mailing Phone
- (859) 331-0286
- Mailing Fax
- (513) 487-6624
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-14-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Spinal Cord Injury Medicine
- Taxonomy Code
- 2081P0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35-068633
- License State
- OH
- Taxonomy Description
- A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 35-068633 (OH) |
| 2 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 33648 (KY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33648 | OTHER (01) | KY | STATE MEDICAL LICENSE # |
| 35-068633 | OTHER (01) | OH | STATE MEDICAL LICENSE |
Medicare Participation & PECOS Enrollment Status
James Plunkett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073526000, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 40 is 40. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CINCINNATI, OH 45220
CINCINNATI, OH 45220
CINCINNATI, OH 45220
CINCINNATI, OH 45220
CINCINNATI, OH 45220
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073526000, enumerated as an "individual" on August 14, 2006.
The provider is located at 3200 VINE ST 117 CINCINNATI, OH 45220 and the phone number is (513) 475-6323.
Physical Medicine & Rehabilitation with taxonomy code 2081P0004X and a focus in Spinal Cord Injury Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
