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DR. KIM ERIK PLOOT DPM
NPI 1205902525
Podiatrist in Kalispell, MT

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
125 W WASHINGTON ST, KALISPELL, MT 59901(406) 755-1300(406) 752-8346 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2025, Oct 28, 2023, May 3, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Kim Erik Ploot Dpm NPPES

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

DR. KIM ERIK PLOOT DPM (NPI 1205902525) is an individual podiatrist in Kalispell, Montana, licensed in Montana (155) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Kent State University College Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1205902525
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. KIM ERIK PLOOTCredential: DPM
Location Address125 W WASHINGTON STKalispell, MT 59901
Mailing Address125 W Washington StKalispell, MT 59901-3950 · (406) 755-1300 · Fax (406) 752-8346
Phone(406) 755-1300
Fax(406) 752-8346
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1999
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 21, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1205902525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MT · 155
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
125 W WASHINGTON ST, Kalispell, MT 59901
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Other Identifiers 2

Medicaid0390847MT
Medicaid0173836MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Dr. Kim Erik Ploot Dpm 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 ID1658385430
PECOS Enrollment IDI20060202000301
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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
513 services180 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
250 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
121 services70 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
97 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 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.
55 services43 patients

Hospital Affiliations CMS Care Compare

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier21 claims28 services$61.31 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier22 claims90 services$37.35 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

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

PLOOT P.C.
Clinic/Center (Podiatric)
125 W WASHINGTON ST
KALISPELL, MT 59901
Flathead County (406) 755-1300

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 Kim Ploot's NPI number?

The NPI number for Kim Ploot is 1205902525. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Kim Ploot located?

Kim Ploot practices at 125 W Washington St, Kalispell, MT 59901. The listed phone number is (406) 755-1300.

What is Kim Ploot's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kim Ploot enrolled in Medicare?

Yes. Kim Ploot 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.

What insurance does Kim Ploot accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Kim Ploot 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 Kim Ploot affiliated with any hospitals?

According to CMS data, Kim Ploot is affiliated with Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Kim Ploot was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.