RYAN PATRICK PLICHTA M.D.
NPI 1194987115
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Durham, NC
About Ryan Patrick Plichta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN PATRICK PLICHTA M.D. (NPI 1194987115) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Durham, North Carolina, licensed in North Carolina (2016-01592) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and maintains a secondary practice location in Raleigh.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Ryan Patrick Plichta 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.
Medicare Billing Reassignment
Medicare enrollment records show Ryan Plichta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 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 10
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unc Health Wayne
Acute Care Hospitals · Goldsboro, NCJohnston Health
Acute Care Hospitals · Smithfield, NCRex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27705 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.
DURHAM, NC 27705
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 Ryan Plichta's NPI number?
The NPI number for Ryan Plichta is 1194987115. It was assigned to this individual provider in the NPPES registry on July 1, 2008.
Where is Ryan Plichta located?
Ryan Plichta practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.
What is Ryan Plichta's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Ryan Plichta enrolled in Medicare?
Yes. Ryan Plichta 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 organization bills Medicare for Ryan Plichta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Plichta reassigns Medicare benefits to North Carolina Mg, LLC (Raleigh, NC). The 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 Ryan Plichta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Plichta accept?
Health plans from UnitedHealthcare list Ryan Plichta 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 Ryan Plichta affiliated with any hospitals?
According to CMS data, Ryan Plichta is affiliated with Unc Health Wayne, Johnston Health and Rex Hospital.
When was this NPI record last updated?
The NPPES record for Ryan Plichta was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ryan Patrick Plichta, M.D. · NPI 1194987115
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since July 1, 2008.
## Identity
- **NPI:** 1194987115 (Entity type: Individual)
- **Enumerated:** July 1, 2008
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 2016-01592 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2301 ERWIN RD, Durham, NC 27705-4699
- **Phone:** (919) 684-8111
## 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:** North Carolina Mg, LLC (NPI 1215741640, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** July 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194987115) · Data from the CMS NPPES public registry.