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KEVIN D PLANCHER MD
NPI 1093765950
Orthopaedic Surgery in New York, NY

Active since May 11, 2006Opted out of Medicare · through Jan 1, 2027
1160 PARK AVE, NEW YORK, NEW YORK, NY 10128(203) 863-2003(203) 863-2003 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin D Plancher Md NPPES

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

KEVIN D PLANCHER MD (NPI 1093765950) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (181664) and active in the NPI registry since May 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093765950
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN D PLANCHERCredential: MD
Location Address1160 PARK AVE, NEW YORKNew York, NY 10128-1212
Mailing Address1160 Park AveNew York, NY 10128-1212 · (212) 876-5200 · Fax (212) 876-4440
Phone(203) 863-2003
Fax(203) 863-2003
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJune 22, 2011
✔ NPI 1093765950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NY · 181664✔ Licensed in CT · 030654
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1160 PARK AVE, New York, NY 10128
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Other Identifiers 5

Medicare PIN200000864CT
Medicare PINC02922CT
Medicare PIN513G41NY
Medicare NSC5114460001NY
Medicare NSC5091060001CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin D Plancher Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 3

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

SHARI LEIPZIG
Obstetrics & Gynecology
1160 PARK AVE
NEW YORK, NY 10128
New York County (347) 216-6655
DR. IRA M BERGMAN MD
Psychiatry & Neurology (Psychiatry)
1160 PARK AVE, #1E
NY, NY 10128
New York County (212) 289-4128
MICHAEL SILANE MD PLLC
Surgery (Vascular Surgery)
1160 PARK AVE
NEW YORK, NY 10128
New York County (212) 861-2200

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 Kevin Plancher's NPI number?

The NPI number for Kevin Plancher is 1093765950. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Kevin Plancher located?

Kevin Plancher practices at 1160 Park Ave New York, New York, NY 10128. The listed phone number is (203) 863-2003.

What is Kevin Plancher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Plancher enrolled in Medicare?

No. Kevin Plancher has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Plancher was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.