RYAN PATRICK PLICHTA M.D.
NPI 1194987115
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Durham, NC

Q: 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.

Q: What is Ryan Plichta's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: 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.

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment

2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2023, Sep 21, 2016 (2 updates tracked since 2016).

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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 Johnston Health, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1194987115

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameRYAN PATRICK PLICHTACredential: M.D.

Location Address2301 ERWIN RDDurham, NC 27705-4699

Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (800) 782-6945

Phone(919) 684-8111

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2008

Enumeration DateJuly 1, 2008

Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1194987115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in NC · 2016-01592✔ Licensed in IL · 036131792✔ Licensed in OH · 35126191

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License 125054167 (IL), 2016-01592 (NC)

2301 ERWIN RD, Durham, NC 27705

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Secondary Practice Location 1

Location 12800 Blue Ridge Rd Ste 201Raleigh, NC 27607-6477 · Phone (919) 784-7110

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

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.

PECOS PAC ID4880909068

PECOS Enrollment IDI20161101002108

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 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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

68 services68 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

56 services56 patients

Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area more than 50.0 sq cm 97608

This procedure involves a special bandage and vacuum pump to promote healing in larger wounds. The bandage is applied to the wound and the pump creates a gentle suction, helping to remove fluid and stimulate tissue growth. Disposable medical equipment ensures cleanliness.

43 services41 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

37 services37 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

35 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340090

Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County

Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician 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.

New Patient

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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