DR. ALAN PLAUKA M.D.
NPI 1316954589
Internal Medicine in Elizabeth, NJ

Q: What is Alan Plauka's NPI number?

The NPI number for Alan Plauka is 1316954589. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Alan Plauka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Alan Plauka was last updated on June 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment

1150 DICKINSON ST, ELIZABETH, NJ 07201(908) 354-8900(908) 354-0007 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2020, Sep 11, 2019, Feb 18, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. Alan Plauka M.d. NPPES

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

DR. ALAN PLAUKA M.D. (NPI 1316954589) is an individual internal medicine provider in Elizabeth, New Jersey, licensed in New Jersey (MA51872) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1316954589

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ALAN PLAUKACredential: M.D.

Location Address1150 DICKINSON STElizabeth, NJ 07201-2210

Mailing Address520 N Wood AveLinden, NJ 07036-4147 · (908) 587-9300

Phone(908) 354-8900

Fax(908) 354-0007

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateAugust 1, 2006

Last NPPES UpdateJune 19, 20204 updates tracked since enumeration

NPPES CertifiedJune 19, 2020

✔ NPI 1316954589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · MA51872

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1150 DICKINSON ST, Elizabeth, NJ 07201

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Other Identifiers 1

Medicaid5386101NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Alan Plauka 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 ID9537184726

PECOS Enrollment IDI20051006000652

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 5

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.

161 services85 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.

132 services66 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

20 services20 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

19 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310027

Location225 Williamson StreetElizabeth, NJ 07207 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07201 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers33 claims62 services$5.96 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims14 services$1.17 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$4.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

TONY MALEK NP-C

Nurse Practitioner (Adult Health)