ALAN J PLOTNER M.D.
NPI 1114983004
Internal Medicine - Gastroenterology in Reston, VA

Q: What is Alan Plotner's NPI number?

The NPI number for Alan Plotner is 1114983004. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Alan Plotner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Alan Plotner was last updated on March 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment

80.82/100

CMS Quality Rating

11440 COMMERCE PARK DR, LL4, RESTON, VA 20191(703) 766-2650(703) 766-2654 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alan J Plotner M.d. NPPES

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

ALAN J PLOTNER M.D. (NPI 1114983004) is an individual gastroenterology provider in Reston, Virginia, licensed in Virginia (0101048250) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of New York University School Of Medicine (1987).

NPPES Registry Identity

NPI1114983004

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameALAN J PLOTNERCredential: M.D.

Location Address11440 COMMERCE PARK DR, LL4Reston, VA 20191-1555

Mailing Address11440 Commerce Park Dr, Ll4Reston, VA 20191-1555 · (703) 766-2650 · Fax (703) 766-2654

Phone(703) 766-2650

Fax(703) 766-2654

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1987

Enumeration DateApril 21, 2006

Last NPPES UpdateMarch 18, 2008

✔ NPI 1114983004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in VA · 0101048250

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

11440 COMMERCE PARK DR, Reston, VA 20191

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Other Identifiers 2

Medicare UPINF28633

Medicare PIN724424W30

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

Alan J Plotner 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 ID1557462561

PECOS Enrollment IDI20110627000508, I20210723001261

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.

221 services190 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.

83 services83 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

52 services52 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

41 services41 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

38 services38 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.

35 services34 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

35 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

20 services20 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

17 services17 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

16 services16 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

14 services14 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

13 services13 patients

Biopsy of large bowel using a flexible endoscope 45380

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490107

Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

80.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.63

Promoting Interoperability

100

Improvement Activities

Cost

74.45

Other Providers at the Same Location NPPES 8

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

ANITA WOLKE M.D.

Internal Medicine (Gastroenterology)

11440 COMMERCE PARK DR, LL4
RESTON, VA 20191

Fairfax County (703) 766-2650

EDUARDO CHRISTIAN NOGUERA M.D.

Internal Medicine (Gastroenterology)

11440 COMMERCE PARK DR, LL4
RESTON, VA 20191

Fairfax County (703) 766-2650

EMIL FRANK VALLE M.D.

Internal Medicine (Gastroenterology)

11440 COMMERCE PARK DR, LL4
RESTON, VA 20191

Fairfax County (703) 766-2650

MS. JUDY ELLEN CAPLAN R,D

Dietitian, Registered

11440 COMMERCE PARK DR, SUITE LL1A
RESTON, VA 20191

Fairfax County (703) 860-2922

SOMNUS, LLC

Specialist

11440 COMMERCE PARK DR, SUITE LL4
RESTON, VA 20191

Fairfax County (703) 766-2600

ANDREW AXELRAD M.D.

Internal Medicine (Gastroenterology)

11440 COMMERCE PARK DR, LL4
RESTON, VA 20191

Fairfax County (703) 766-2650

THE GASTROENTEROLOGY CENTER OF VIRGINIA, PLLC

Clinic/Center (Ambulatory Surgical)

11440 COMMERCE PARK DR, SUITE LL-4
RESTON, VA 20191

Fairfax County (703) 766-2600

KATERA HELEN STEVENS

Nurse Practitioner (Acute Care)

11440 COMMERCE PARK DR
RESTON, VA 20191

Fairfax County (703) 495-2247

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 Alan Plotner's NPI number?

The NPI number for Alan Plotner is 1114983004. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Alan Plotner located?

Alan Plotner practices at 11440 Commerce Park Dr Ll4, Reston, VA 20191. The listed phone number is (703) 766-2650.

What is Alan Plotner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alan Plotner enrolled in Medicare?

Yes. Alan Plotner 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.

Is Alan Plotner affiliated with any hospitals?

According to CMS data, Alan Plotner is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Alan Plotner was last updated on March 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.