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KYLE A PLOTTS MD, PA
NPI 1073550737
Emergency Medicine in Newark, DE

Active since June 01, 2006PECOS Enrolled
75/100
CMS Quality Rating
4755 OGLETOWN STANTON RD, SUITE LE45, NEWARK, DE 19718(302) 733-1042 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle A Plotts Md, Pa NPPES

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

KYLE A PLOTTS MD, PA (NPI 1073550737) is an individual emergency medicine provider in Newark, Delaware, licensed in Delaware (C7-0005333) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073550737
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKYLE A PLOTTSCredential: MD, PA
Location Address4755 OGLETOWN STANTON RD, SUITE LE45Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd, Suite Le45Newark, DE 19718-2200 · (302) 733-1042
Phone(302) 733-1042
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 25, 2013
✔ NPI 1073550737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in DE · C7-0005333
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X · License AMD-237 (HI)
4755 OGLETOWN STANTON RD, Newark, DE 19718
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedH100841HI · Medicare
OtherA252930HI · Hmsa
Medicare UPINQ44088HI
Other9561653HI · Univ Health Alliance
Medicaid56986602HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle A Plotts Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
386 services376 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
144 services142 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
125 services120 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

ALICIA RENEE EDELBLUTE PA-C
Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (610) 406-7662
ADEYOYIN R ESAKA FNP
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
New Castle County (302) 623-1929
DR. SEPEHR SEDIGH HAGHIGHAT MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-3901
ZAID A AMMARI M.D. M.P.H.
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MURIEL P JURASEVICH CRNP
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
JOHN ANDREW POLLOCK
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (800) 693-2273
MATTHEW JOSEPH HOMISHAK CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MR. THOMAS MICHAEL CARLSON MSN, CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000

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 Kyle Plotts's NPI number?

The NPI number for Kyle Plotts is 1073550737. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Kyle Plotts located?

Kyle Plotts practices at 4755 Ogletown Stanton Rd Suite Le45, Newark, DE 19718. The listed phone number is (302) 733-1042.

What is Kyle Plotts's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kyle Plotts enrolled in Medicare?

Yes. Kyle Plotts is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Plotts accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Kyle Plotts 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.

When was this NPI record last updated?

The NPPES record for Kyle Plotts was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.