DR. RANDY A PLANEGGER JR. MD
NPI 1245767706
Internal Medicine - Pulmonary Disease in Houston, TX

Q: What is Randy Planegger's NPI number?

The NPI number for Randy Planegger is 1245767706. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Q: What is Randy Planegger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Randy Planegger was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment

1 BAYLOR PLZ # BCM620, HOUSTON, TX 77030(713) 798-5588 Get Directions Write a Review

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

Record update history: May 8, 2026, May 16, 2017 (2 updates tracked since 2017).

On this page

About Dr. Randy A Planegger Jr. Md NPPES

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

DR. RANDY A PLANEGGER JR. MD (NPI 1245767706) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (665478) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Eastern Virginia Medical School (2017).

NPPES Registry Identity

NPI1245767706

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RANDY A PLANEGGER JR.Credential: MD

Location Address1 BAYLOR PLZ # BCM620Houston, TX 77030-3411

Mailing Address1301 Richmond Ave Apt 525Houston, TX 77006-5497 · (661) 993-9448

Phone(713) 798-5588

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2017

Enumeration DateMay 16, 2017

Last NPPES UpdateMay 8, 20262 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1245767706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · 665478

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1 BAYLOR PLZ # BCM620, Houston, TX 77030

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Other Identifiers 1

Medicaid665478TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Randy A Planegger Jr. 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 ID8820463466

PECOS Enrollment IDI20230412001702

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 Randy Planegger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Medical Group Gulf Coast, PLLC

1.4 mi

Obstetrics & Gynecology

7900 FANNIN ST STE 4000
Houston, TX 77054

Reassigned Medicare billing, Texas enrollment
497 clinicians in this Medicare group

NPI 1578969465 (713) 512-7500

Wael Asi MD PA

32 mi

Critical Care Medicine

1111 MEDICAL PLAZA DR, SUITE 250
The Woodlands, TX 77380

Reassigned Medicare billing, Texas enrollment
72 clinicians in this Medicare group

NPI 1851342794 (281) 296-8788

North Houston Hospitalists PA

32 mi

Internal Medicine

8845 SIX PINES DR STE 202
Shenandoah, TX 77380

Reassigned Medicare billing, Texas enrollment
14 clinicians in this Medicare group

NPI 1225089832 (281) 296-8788

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.

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.

242 services137 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.

60 services46 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

16 services15 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.

14 services14 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

13 services12 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450638

Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County

Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450862

Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County

Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670075

Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County

Emergency services

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670122

Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 5

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

GLORIA MENSAH MD

Student in an Organized Health Care Education/Training Program

1 BAYLOR PLZ # BCM620
HOUSTON, TX 77030

Harris County (713) 798-5588

WON JAE JEONG MD

Student in an Organized Health Care Education/Training Program

1 BAYLOR PLZ # BCM620
HOUSTON, TX 77030

Harris County (214) 535-0360

ALEXANDER HANANIA MD

Radiology (Radiation Oncology)

1 BAYLOR PLZ # BCM620
HOUSTON, TX 77030

Harris County (713) 798-5588

DR. NIKOLAOS FRANGOGIANNIS MD

Internal Medicine (Cardiovascular Disease)

1 BAYLOR PLZ # BCM620, BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX 77030

Harris County (713) 798-3391

ELLIOT AXEL BAERMAN

Student in an Organized Health Care Education/Training Program

1 BAYLOR PLZ # BCM620
HOUSTON, TX 77030

Harris County (865) 963-5970

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 Randy Planegger's NPI number?

The NPI number for Randy Planegger is 1245767706. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Randy Planegger located?

Randy Planegger practices at 1 Baylor Plz # Bcm620, Houston, TX 77030. The listed phone number is (713) 798-5588.

What is Randy Planegger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Randy Planegger enrolled in Medicare?

Yes. Randy Planegger 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 Randy Planegger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Planegger reassigns Medicare benefits to 3 organizations: Privia Medical Group Gulf Coast, PLLC (Houston, TX), Wael Asi MD PA (The Woodlands, TX) and North Houston Hospitalists PA (Shenandoah, TX). 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 Randy Planegger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Planegger accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Randy Planegger 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 Randy Planegger affiliated with any hospitals?

According to CMS data, Randy Planegger is affiliated with Memorial Hermann Hospital System, Hca Houston Healthcare Northwest, St Luke's The Woodlands Hospital, St Luke's Hospital At The Vintage and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Randy Planegger was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.