JONATHAN KAISER PLOUDRE M.D.
NPI 1104827435
Family Medicine in Mount Vernon, WA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
2116 E SECTION ST, MOUNT VERNON, WA 98274(360) 428-1700(360) 848-4350 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Kaiser Ploudre M.d. NPPES

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

JONATHAN KAISER PLOUDRE M.D. (NPI 1104827435) is an individual family medicine provider in Mount Vernon, Washington, licensed in Washington (MD00045195) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2002).

NPPES Registry Identity

NPI1104827435
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN KAISER PLOUDRECredential: M.D.
Location Address2116 E SECTION STMount Vernon, WA 98274-9124
Mailing Address3610 Meridian StBellingham, WA 98225-1732 · (360) 318-8800
Fax(360) 848-4350
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2002
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1104827435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00045195
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.
2116 E SECTION ST, Mount Vernon, WA 98274

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

Jonathan Kaiser Ploudre 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 ID6800823725
PECOS Enrollment IDI20050722000345
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 14

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.
193 services106 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
135 services91 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
85 services67 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
75 services55 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
64 services62 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.
58 services43 patients

Hospital Affiliations CMS Care Compare

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims80 services$5.27 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers14 claims2,940 services$1.69 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$6.51 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 20

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

Family Medicine
2116 E SECTION ST
MOUNT VERNON, WA 98274
Family Medicine
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Family Medicine
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Clinical Medical Laboratory
2116 E SECTION ST
MOUNT VERNON, WA 98274

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 Jonathan Ploudre's NPI number?

The NPI number for Jonathan Ploudre is 1104827435. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Jonathan Ploudre located?

Jonathan Ploudre practices at 2116 E Section St, Mount Vernon, WA 98274. The listed phone number is (360) 428-1700.

What is Jonathan Ploudre's specialty?

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

Is Jonathan Ploudre enrolled in Medicare?

Yes. Jonathan Ploudre 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 Jonathan Ploudre accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jonathan Ploudre 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 Jonathan Ploudre affiliated with any hospitals?

According to CMS data, Jonathan Ploudre is affiliated with Skagit Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Ploudre was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.