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DR. SCOTT PLENSDORF MD
NPI 1083697528
Family Medicine in Lancaster, PA

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
540 NORTH DUKE STREET, 3RD FLOOR, LANCASTER, PA 17602(717) 786-7383(717) 786-8635 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott Plensdorf Md NPPES

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

DR. SCOTT PLENSDORF MD (NPI 1083697528) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD458301) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Quarryville.

NPPES Registry Identity

NPI1083697528
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT PLENSDORFCredential: MD
Location Address540 NORTH DUKE STREET, 3RD FLOORLancaster, PA 17602-2374
Mailing Address317 Chestnut StQuarryville, PA 17566-1184 · (717) 786-7383 · Fax (717) 786-8635
Phone(717) 786-7383
Fax(717) 786-8635
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1992
Enumeration DateNovember 29, 2005
Last NPPES UpdateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1083697528 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 · MD458301
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.

540 NORTH DUKE STREET, Lancaster, PA 17602
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Secondary Practice Location 1

Location 1317 South Chestnut StreetQuarryville, PA 17566-1184 · Phone (717) 786-7383 · Fax (717) 786-8635

Other Identifiers 13

Other5954775MI · Aetna
OtherC6555MI · Mcare
Other010B56026MI · Community Blue Ppo
Other253047MI · Mclaren Health Plan
Other253047MI · Health Advantage Network
Medicaid4125157MI
Other010B56026MI · Blue Cross Blue Shield
Other0802504591MI · Blue Cross Blue Shield
Other010B56026MI · Blue Choice
Other010B56026MI · Blue Care Network
Other0985515MI · Healthplus
OtherG28639MI · Health Net Federal Servic
OtherG28639MI · Hap

Accepted Insurance

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

Dr. Scott Plensdorf 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 ID6709928898
PECOS Enrollment IDI20160713000136
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 7

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.
152 services94 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.
113 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services25 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.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims353 services$5.68 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,187 services$0.35 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$213.39 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 3

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

DR. ALEXANDER WILLARD BRIDGES M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
540 NORTH DUKE STREET, SUITE 110
LANCASTER, PA 17602
Lancaster County (717) 544-4995
EMILY BROWN
Family Medicine
540 NORTH DUKE STREET, 3RD FLOOR
LANCASTER, PA 17602
Lancaster County (717) 544-4950
LISA R FRITZ LCSW
Social Worker
540 NORTH DUKE STREET, 3RD FLOOR
LANCASTER, PA 17602
Lancaster County (717) 560-3782

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 Scott Plensdorf's NPI number?

The NPI number for Scott Plensdorf is 1083697528. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Scott Plensdorf located?

Scott Plensdorf practices at 540 North Duke Street 3rd Floor, Lancaster, PA 17602. The listed phone number is (717) 786-7383.

What is Scott Plensdorf's specialty?

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

Is Scott Plensdorf enrolled in Medicare?

Yes. Scott Plensdorf 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 Scott Plensdorf accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Scott Plensdorf 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 Scott Plensdorf affiliated with any hospitals?

According to CMS data, Scott Plensdorf is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Scott Plensdorf was last updated on February 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.