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DR. PHILLIP ANTHONY PLOTHOW OD
NPI 1235110149
Optometrist in Provo, UT

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
3651 N 100 E, STE 250, PROVO, UT 84604(801) 373-3337(801) 373-3339 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phillip Anthony Plothow Od NPPES

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

DR. PHILLIP ANTHONY PLOTHOW OD (NPI 1235110149) is an individual optometrist in Provo, Utah, licensed in Utah (1139719934) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1990).

NPPES Registry Identity

NPI1235110149
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHILLIP ANTHONY PLOTHOWCredential: OD
Location Address3651 N 100 E, STE 250Provo, UT 84604-4597
Mailing Address3651 N 100 E, Ste 250Provo, UT 84604-4597 · (801) 373-3337 · Fax (801) 373-3339
Phone(801) 373-3337
Fax(801) 373-3339
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1990
Enumeration DateNovember 8, 2005
Last NPPES UpdateNovember 20, 2009
✔ NPI 1235110149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 1139719934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3651 N 100 E, Provo, UT 84604
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Other Identifiers 2

Medicare UPINU21795
Medicare PIN005750601UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Phillip Anthony Plothow Od 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 ID7113810433
PECOS Enrollment IDI20040203000839
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 3

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 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.
69 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 4

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

MR. JOHN ANTHONY PEROTTI L.A.P.C.
Counselor (Mental Health)
3651 N 100 E, SUITE 300
PROVO, UT 84604
Utah County (801) 367-4555
CULLEN ARCHER, MD, PLLC
Obstetrics & Gynecology
3651 N 100 E, SUITE 375
PROVO, UT 84604
Utah County (435) 830-5100
RICHARD A CALL II MD PC
Internal Medicine (Rheumatology)
3651 N 100 E, STE #150
PROVO, UT 84604
Utah County (801) 224-0737
ROBB CLAWSON LMFT
Marriage & Family Therapist
3651 N 100 E, STE. 300
PROVO, UT 84604
Utah County (801) 935-8694

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 Phillip Plothow's NPI number?

The NPI number for Phillip Plothow is 1235110149. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Phillip Plothow located?

Phillip Plothow practices at 3651 N 100 E Ste 250, Provo, UT 84604. The listed phone number is (801) 373-3337.

What is Phillip Plothow's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Phillip Plothow enrolled in Medicare?

Yes. Phillip Plothow 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 Phillip Plothow accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Phillip Plothow 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.

When was this NPI record last updated?

The NPPES record for Phillip Plothow was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.