CAROL M PLANKENHORN PA
NPI 1316995566
Physician Assistant in Milwaukee, WI

Active since May 04, 2006PECOS Enrolled
75.75/100
CMS Quality Rating
2900 W OKLAHOMA AVE, ERMED, MILWAUKEE, WI 53215(414) 649-7299(414) 649-6694 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol M Plankenhorn Pa NPPES

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

CAROL M PLANKENHORN PA (NPI 1316995566) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (1187-023) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316995566
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROL M PLANKENHORNCredential: PA
Location Address2900 W OKLAHOMA AVE, ERMEDMilwaukee, WI 53215-4330
Mailing Address2900 W Oklahoma Ave, Ermed, St. Luke's Medical CenterMilwaukee, WI 53215-4330 · (414) 649-7299
Fax(414) 649-6694
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 19, 2008
NPI 1316995566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1187-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2900 W OKLAHOMA AVE, Milwaukee, WI 53215

Other Identifiers 5

MedicaidPOO41817WI
Other$$$$$$$$$006WI · Bcbs
Medicare PIN021501940WI
Medicare UPINP89354WI
Medicare PINP00041817

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carol M Plankenhorn Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.
193 services111 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

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 Carol Plankenhorn's NPI number?

The NPI number for Carol Plankenhorn is 1316995566. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Carol Plankenhorn located?

Carol Plankenhorn practices at 2900 W Oklahoma Ave Ermed, Milwaukee, WI 53215. The listed phone number is (414) 649-7299.

What is Carol Plankenhorn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carol Plankenhorn enrolled in Medicare?

Yes. Carol Plankenhorn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Plankenhorn was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.