DR. MARC PLOTKIN MD
NPI 1205832888
Emergency Medicine in Miami, FL

Q: What is Marc Plotkin's NPI number?

The NPI number for Marc Plotkin is 1205832888. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Marc Plotkin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Plotkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 28, 2005PECOS EnrolledAccepts Medicare Assignment

1100 NW 95TH ST, MIAMI, FL 33150(305) 835-6191(305) 694-3649 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Marc Plotkin Md NPPES

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

DR. MARC PLOTKIN MD (NPI 1205832888) is an individual emergency medicine provider in Miami, Florida, licensed in Florida (ME74411) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1205832888

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MARC PLOTKINCredential: MD

Location Address1100 NW 95TH STMiami, FL 33150-2038

Mailing Address7267 Nw 122 AveParkland, FL 33076 · (954) 292-9444 · Fax (954) 340-0699

Phone(305) 835-6191

Fax(305) 694-3649

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 28, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205832888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME74411

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1100 NW 95TH ST, Miami, FL 33150

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Other Identifiers 1

Medicare UPING68928

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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. Marc Plotkin 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.

PECOS PAC ID840289849

PECOS Enrollment IDI20240109000481

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 Reassignments

Medicare enrollment records show Marc Plotkin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inphynet Contracting Services LLC

40 mi

Emergency Medicine

5352 LINTON BLVD
Delray Beach, FL 33484

Reassigned Medicare billing, Florida enrollment
527 clinicians in this Medicare group

NPI 1073556767 (561) 495-3115

Paragon Contracting Services LLC

658 mi

Emergency Medicine

810 SAINT VINCENTS DR
Birmingham, AL 35205

Reassigned Medicare billing, Florida enrollment
802 clinicians in this Medicare group

NPI 1225071459 (205) 939-7100

Emergency Coverage, LLC

718 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, North Carolina enrollment
557 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

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 6

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

225 services215 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

195 services169 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

70 services70 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services25 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

18 services18 patients

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm 12002

This is a procedure to mend a surface wound measuring between 2.6-7.5 cm on your scalp, neck, underarms, trunk, arms, or legs. It involves cleaning, closing and dressing the wound to promote healing and prevent infection.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Highlands Cashiers Hospital

Critical Access Hospitals · Highlands, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341316

Location190 Hospital DriveHighlands, NC 28741 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33150 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

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.

DR. LORI BETH SCHMERLING D.O.

Emergency Medicine

1100 NW 95TH ST
MIAMI, FL 33150

Miami-Dade County (305) 835-6000

DR. JOSEPH GOMES DO

Emergency Medicine

1100 NW 95TH ST, EMERGENCY MEDICINE SPECIALISTS OF SOUTH FLORIDA
MIAMI, FL 33150

Miami-Dade County (305) 835-6191

JENNY IVETTE MORALES-SOTOMAYOR CRNA

Nurse Anesthetist, Certified Registered

1100 NW 95TH ST
MIAMI, FL 33150

Miami-Dade County (787) 662-5032

MADALYN SARAFZADEH

Occupational Therapist

1100 NW 95TH ST
MIAMI, FL 33150

Miami-Dade County (281) 948-6875

ANDREW AKERMAN M.D.

Radiology (Diagnostic Radiology)

1100 NW 95TH ST
MIAMI, FL 33150

Miami-Dade County (305) 835-6157

DR. ANTONY FRIEDMAN MD

Emergency Medicine

1100 NW 95TH ST
MIAMI, FL 33150

Miami-Dade County (305) 835-6191

MARIE AHRENDTS PA

Physician Assistant

1100 NW 95TH ST, EMERGENCY MEDICINE SPECIALISTS OF SOUTH FLORIDA
MIAMI, FL 33150

Miami-Dade County (305) 835-6191

SHERIDAN RADIOLOGY SERVICES OF VIRGINIA, INC

Radiology (Diagnostic Radiology)

1100 NW 95TH ST
MIAMI, FL 33150

Miami-Dade County (305) 835-6000

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 Marc Plotkin's NPI number?

The NPI number for Marc Plotkin is 1205832888. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Marc Plotkin located?

Marc Plotkin practices at 1100 NW 95th St, Miami, FL 33150. The listed phone number is (305) 835-6191.

What is Marc Plotkin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Plotkin enrolled in Medicare?

Yes. Marc Plotkin 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 Marc Plotkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Plotkin reassigns Medicare benefits to 3 organizations: Inphynet Contracting Services LLC (Delray Beach, FL), Paragon Contracting Services LLC (Birmingham, AL) and Emergency Coverage, LLC (Newport, TN). 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 Marc Plotkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Plotkin accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Marc Plotkin 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 Marc Plotkin affiliated with any hospitals?

According to CMS data, Marc Plotkin is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Highlands Cashiers Hospital.

When was this NPI record last updated?

The NPPES record for Marc Plotkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.