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ROBERT E. PLUENNEKE M.D.
NPI 1205808672
Internal Medicine - Hematology & Oncology in Kansas City, MO

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
8700 NORTH GREEN HILLS RD., KANSAS CITY, MO 64154(913) 574-2520(913) 574-2612 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert E. Pluenneke M.d. NPPES

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

ROBERT E. PLUENNEKE M.D. (NPI 1205808672) is an individual hematology & oncology provider in Kansas City, Missouri, licensed in Missouri (110145) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1990).

NPPES Registry Identity

NPI1205808672
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameROBERT E. PLUENNEKECredential: M.D.
Location Address8700 NORTH GREEN HILLS RD.Kansas City, MO 64154-1493
Mailing Address9200 Indian Creek Pkwy, Building 9, Suite 300Overland Park, KS 66210-2002 · (913) 574-2800 · Fax (913) 574-2336
Phone(913) 574-2520
Fax(913) 574-2612
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1990
Enumeration DateFebruary 1, 2006
Last NPPES UpdateMarch 8, 2017
✔ NPI 1205808672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in MO · 110145✔ Licensed in KS · 04-23691
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
8700 NORTH GREEN HILLS RD., Kansas City, MO 64154
Open in Google Maps ↗

Other Identifiers 7

Medicaid100149870DKS
Medicare PINP00975487MO
Medicaid1205808672MO
Medicaid100149870EKS
Medicare PINMA3347018MO
Medicare PINK40000180KS
Medicare UPINF59673MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Robert E. Pluenneke 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 ID8022159474
PECOS Enrollment IDI20100106000839, I20141020002511
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Pluenneke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Kansas Hospital Authority
14 mi
Multi-Specialty
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 323 clinicians in this Medicare group
NPI 1528019502 (913) 588-1227

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 7

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 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.
641 services152 patients
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.
317 services204 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
84 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services35 patients
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.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64154 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
$168.52 typical visit price
range $55.29 – $168.52
Typical copayment $42.13 (range $13.82 – $42.13)
Most-billed visit code 99205
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier22 claims1,320 services$0.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier18 claims18 services$18.95 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 2

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

MAUREEN H. SHEEHAN M.D.
Internal Medicine (Hematology & Oncology)
8700 NORTH GREEN HILLS RD.
KANSAS CITY, MO 64154
Platte County (913) 574-2520
JEREMY R. FLANAGAN M.D.
Internal Medicine (Hematology & Oncology)
8700 NORTH GREEN HILLS RD.
KANSAS CITY, MO 64154
Platte County (913) 574-2520

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 Robert Pluenneke's NPI number?

The NPI number for Robert Pluenneke is 1205808672. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Robert Pluenneke located?

Robert Pluenneke practices at 8700 North Green Hills Rd., Kansas City, MO 64154. The listed phone number is (913) 574-2520.

What is Robert Pluenneke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Robert Pluenneke enrolled in Medicare?

Yes. Robert Pluenneke 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 Robert Pluenneke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Pluenneke reassigns Medicare benefits to University Of Kansas Hospital Authority (Kansas City, KS). 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 Robert Pluenneke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Pluenneke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 3 other insurers list Robert Pluenneke 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 Robert Pluenneke affiliated with any hospitals?

According to CMS data, Robert Pluenneke is affiliated with University Of Kansas Health System - St Francis Campus, University Of Kansas Hospital, Olathe Medical Center, North Kansas City Hospital and New Liberty Hospital District.

When was this NPI record last updated?

The NPPES record for Robert Pluenneke was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.