JOSHUA A. PLAVIN M.D.
NPI 1073526851
Internal Medicine in Randolph, VT

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
44 S MAIN ST, RANDOLPH, VT 05060(802) 728-7000(802) 728-2633 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joshua A. Plavin M.d. NPPES

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

JOSHUA A. PLAVIN M.D. (NPI 1073526851) is an individual internal medicine provider in Randolph, Vermont, licensed in Vermont (0420010143) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of New York Medical College (1996).

NPPES Registry Identity

NPI1073526851
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSHUA A. PLAVINCredential: M.D.
Location Address44 S MAIN STRandolph, VT 05060-1381
Mailing AddressPo Box 2000Randolph, VT 05060-2000 · (802) 728-7000 · Fax (802) 728-2633
Fax(802) 728-2633
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1996
Enumeration DateAugust 14, 2006
Last NPPES UpdateMay 6, 2014
NPI 1073526851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VT · 0420010143
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 0420010143 (VT)
44 S MAIN ST, Randolph, VT 05060

Other Identifiers 3

Medicare UPINH08242VT
Medicare ID-Type UnspecifiedVN2451VT · Medicare
MedicaidOVN2451VT

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

Joshua A. Plavin 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 ID3779779889
PECOS Enrollment IDI20101130001370
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 4

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
106 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05060 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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.

Medicare Defined Swing Bed Unit
44 S MAIN ST, BOX 2000
RANDOLPH, VT 05060
Nurse Practitioner
44 S MAIN ST
RANDOLPH, VT 05060
Orthopaedic Surgery
44 S MAIN ST
RANDOLPH, VT 05060
Family Medicine
44 S MAIN ST
RANDOLPH, VT 05060
Pediatrics
44 S MAIN ST
RANDOLPH, VT 05060
Obstetrics & Gynecology
44 S MAIN ST, GIFFORD MEDICAL CENTER
RANDOLPH, VT 05060
Podiatrist
44 S MAIN ST
RANDOLPH, VT 05060
Physician Assistant
44 S MAIN ST
RANDOLPH, VT 05060

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 Joshua Plavin's NPI number?

The NPI number for Joshua Plavin is 1073526851. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Joshua Plavin located?

Joshua Plavin practices at 44 S Main St, Randolph, VT 05060. The listed phone number is (802) 728-7000.

What is Joshua Plavin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joshua Plavin enrolled in Medicare?

Yes. Joshua Plavin 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 Joshua Plavin accept?

Health plans from Anthem Blue Cross and Blue Shield list Joshua Plavin 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 Joshua Plavin affiliated with any hospitals?

According to CMS data, Joshua Plavin is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Joshua Plavin was last updated on May 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.