DR. RAYMOND PLODKOWSKI
NPI 1104831247
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Diego, CA

Q: What is Raymond Plodkowski's NPI number?

The NPI number for Raymond Plodkowski is 1104831247. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Raymond Plodkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment

12395 EL CAMINO REAL, SUITE 317, SAN DIEGO, CA 92130(858) 794-1250 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Raymond Plodkowski NPPES

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

DR. RAYMOND PLODKOWSKI (NPI 1104831247) is an individual endocrinology, diabetes & metabolism provider in San Diego, California, licensed in California (A64845) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1994).

NPPES Registry Identity

NPI1104831247

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. RAYMOND PLODKOWSKI

Location Address12395 EL CAMINO REAL, SUITE 317San Diego, CA 92130-3082

Mailing AddressFile # 54433Los Angeles, CA 90074-4433 · (858) 784-5888

Phone(858) 794-1250

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1994

Enumeration DateJuly 29, 2006

Last NPPES UpdateSeptember 20, 2012

✔ NPI 1104831247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in CA · A64845✔ Licensed in NV · 10287

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

12395 EL CAMINO REAL, San Diego, CA 92130

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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. Raymond Plodkowski 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 ID8123163987

PECOS Enrollment IDI20121024000130

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 2

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.

469 services234 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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

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

6 suppliers22 claims38 services$6.24 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.

ROYA MIRKHAN,DMD,MSD,INC.

Dentist

12395 EL CAMINO REAL, SUITE NUMBER 314
SAN DIEGO, CA 92130

San Diego County (858) 337-6264

DR. ROBERT L BJORK, JR. JR. MD

Pediatrics

12395 EL CAMINO REAL, SUITE 311
SAN DIEGO, CA 92130

San Diego County (858) 350-4901

DR. MARIA JOLANTA SZMIDT M.D.

Family Medicine

12395 EL CAMINO REAL, SUITE 100
SAN DIEGO, CA 92130

San Diego County (858) 259-5655

SEA BREEZE PEDIATRICS, APC

Clinic/Center (Primary Care)

12395 EL CAMINO REAL, SUITE 311
SAN DIEGO, CA 92130

San Diego County (858) 350-4901

DR. SARITA DOYLE EASTMAN M.D.

Pediatrics (Developmental - Behavioral Pediatrics)

12395 EL CAMINO REAL, SUITE 105
SAN DIEGO, CA 92130

San Diego County (858) 259-2950

RICHARD GRANT D.D.S.,M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

12395 EL CAMINO REAL, SUITE 218
SAN DIEGO, CA 92130

San Diego County (858) 755-1515

MRS. LINDA LEE LIM L AC

Acupuncturist

12395 EL CAMINO REAL, SUITE 311
SAN DIEGO, CA 92130

San Diego County (858) 481-3391

THERESA GWINNETT MS, RD

Dietitian, Registered

12395 EL CAMINO REAL
SAN DIEGO, CA 92130

San Diego County (858) 794-1250

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 Raymond Plodkowski's NPI number?

The NPI number for Raymond Plodkowski is 1104831247. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Raymond Plodkowski located?

Raymond Plodkowski practices at 12395 El Camino Real Suite 317, San Diego, CA 92130. The listed phone number is (858) 794-1250.

What is Raymond Plodkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Raymond Plodkowski enrolled in Medicare?

Yes. Raymond Plodkowski 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.

When was this NPI record last updated?

The NPPES record for Raymond Plodkowski was last updated on September 20, 2012. 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.