DR. TIMOTHY MATTHEW PLONK MD
NPI 1124222898
Emergency Medicine in Raleigh, NC
About Dr. Timothy Matthew Plonk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY MATTHEW PLONK MD (NPI 1124222898) is an individual emergency medicine provider in Raleigh, North Carolina, licensed in North Carolina (2009-01307) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Pacific Medical College (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Timothy Matthew Plonk 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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Plonk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 clinicians in this Medicare group
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RALEIGH, NC 27609
RALEIGH, NC 27609
RALEIGH, NC 27609
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 Timothy Plonk's NPI number?
The NPI number for Timothy Plonk is 1124222898. It was assigned to this individual provider in the NPPES registry on June 14, 2007.
Where is Timothy Plonk located?
Timothy Plonk practices at 3400 Wake Forest Rd, Raleigh, NC 27609. The listed phone number is (919) 954-3965.
What is Timothy Plonk's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Timothy Plonk enrolled in Medicare?
Yes. Timothy Plonk 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.
Which organizations bill Medicare for Timothy Plonk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Plonk reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Raleigh, NC) and Duke Health Integrated Practice, Inc (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Plonk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Plonk accept?
Health plans from Cigna Healthcare list Timothy Plonk 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 Timothy Plonk affiliated with any hospitals?
According to CMS data, Timothy Plonk is affiliated with Duke University Hospital and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Plonk was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Timothy Matthew Plonk, MD · NPI 1124222898
Emergency Medicine physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since June 14, 2007.
## Identity
- **NPI:** 1124222898 (Entity type: Individual)
- **Enumerated:** June 14, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2009-01307 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 WAKE FOREST RD, Raleigh, NC 27609-7317
- **Phone:** (919) 954-3965
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Duke University Health System, Inc. (NPI 1477584894, Raleigh, NC); Duke Health Integrated Practice, Inc (NPI 1780374884, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific Medical College, class of 2007
## Record status
- **NPPES last updated:** April 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124222898) · Data from the CMS NPPES public registry.