ERIC JASON PLUMLEY DPM
NPI 1346236692
Podiatrist - Foot & Ankle Surgery in Middletown, OH

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
38 N BREIEL BLVD, MIDDLETOWN, OH 45042(513) 783-4771(513) 783-4831 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2024, Jan 7, 2019 (2 updates tracked since 2019).

About Eric Jason Plumley Dpm NPPES

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

ERIC JASON PLUMLEY DPM (NPI 1346236692) is an individual foot & ankle surgery provider in Middletown, Ohio, licensed in Ohio (36-003356) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (2002).

NPPES Registry Identity

NPI1346236692
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameERIC JASON PLUMLEYCredential: DPM
Location Address38 N BREIEL BLVDMiddletown, OH 45042-3804
Mailing Address38 N Breiel BlvdMiddletown, OH 45042-3804 · (513) 783-4771 · Fax (513) 783-4831
Fax(513) 783-4831
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2002
Enumeration DateSeptember 22, 2005
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1346236692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OH · 36-003356
Also ListedPodiatristTaxonomy 213E00000X · License 497 (NC)
38 N BREIEL BLVD, Middletown, OH 45042

Other Identifiers 1

Medicaid3121982OH

Accepted 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

Eric Jason Plumley Dpm 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 ID2264452416
PECOS Enrollment IDI20110329000482
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 18

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
290 services162 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
280 services152 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.
186 services127 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
118 services117 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
100 services79 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
84 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

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

Podiatrist
38 N BREIEL BLVD
MIDDLETOWN, OH 45042
Internal Medicine (Cardiovascular Disease)
38 N BREIEL BLVD
MIDDLETOWN, OH 45042

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 Eric Plumley's NPI number?

The NPI number for Eric Plumley is 1346236692. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Eric Plumley located?

Eric Plumley practices at 38 N Breiel Blvd, Middletown, OH 45042. The listed phone number is (513) 783-4771.

What is Eric Plumley's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Eric Plumley enrolled in Medicare?

Yes. Eric Plumley 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 Eric Plumley accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Eric Plumley 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 Eric Plumley affiliated with any hospitals?

According to CMS data, Eric Plumley is affiliated with Miami Valley Hospital, Atrium Medical Center, Kettering Health Main Campus and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Eric Plumley was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.