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ROBERT T PLACHY M.D.
NPI 1326397878
Family Medicine in Brooklyn, NY

Active since August 30, 2012PECOS Enrolled
14.34/100
CMS Quality Rating
450 CLARKSON AVE # 1262, DEPARTMENT SUNY MEDICAL CENTER, BROOKLYN, NY 11203(718) 270-8867 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert T Plachy M.d. NPPES

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

ROBERT T PLACHY M.D. (NPI 1326397878) is an individual family medicine provider in Brooklyn, New York, licensed in New York (185894) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326397878
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT T PLACHYCredential: M.D.
Location Address450 CLARKSON AVE # 1262, DEPARTMENT SUNY MEDICAL CENTERBrooklyn, NY 11203-2012
Mailing Address450 Clarkson Avenue, Box 1262, Department Suny Downstate Medical CenterBrooklyn, NY 11203 · (631) 707-4369
Phone(718) 270-8867
Sole ProprietorNo
Enumeration DateAugust 30, 2012
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1326397878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 185894
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
450 CLARKSON AVE # 1262, Brooklyn, NY 11203
Open in Google Maps ↗

Other Identifiers 1

Other10769564NY · Caqh Provider Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert T Plachy M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Plachy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Olaf Butchma Do PC
9.9 mi
Internal Medicine
3617 PARSONS BLVD
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
NPI 1164054524 (516) 697-8387

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 15

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,124 services178 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,054 services188 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
307 services92 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
263 services99 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
169 services159 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
132 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

14.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost47.8

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier15 claims15 services$908.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$36.13 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 20

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

RIZA SEIT MD
Radiology (Diagnostic Radiology)
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
CUONG LE M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
DR. MUHAMMAD IHSAN MD
Internal Medicine (Interventional Cardiology)
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
JIHAE LEE
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
CHANDANA DAS M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
ROBERT CHIARAMONTE MD, PHD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
DR. KERON CHRISTOPHER MATTHEW M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262, DEPARTMENT OF INTERNAL MEDICINE
BROOKLYN, NY 11203
Kings County (718) 270-8867
DR. NAVANEETHA KRISHNAN SHESHADRI M.D.
Internal Medicine (Cardiovascular Disease)
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867

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 Robert Plachy's NPI number?

The NPI number for Robert Plachy is 1326397878. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Robert Plachy located?

Robert Plachy practices at 450 Clarkson Ave # 1262 Department Suny Medical Center, Brooklyn, NY 11203. The listed phone number is (718) 270-8867.

What is Robert Plachy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Plachy enrolled in Medicare?

Yes. Robert Plachy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Plachy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Plachy reassigns Medicare benefits to Olaf Butchma Do PC (Flushing, NY). The 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 Robert Plachy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Plachy was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.