RACHAEL A PLANTHOLT MD
NPI 1346817566
Family Medicine in Normal, IL

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment
1437 E COLLEGE AVE, NORMAL, IL 61761(309) 862-5700(309) 862-5705 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Dec 5, 2022, Jun 7, 2021 (3 updates tracked since 2021).

About Rachael A Plantholt Md NPPES

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

RACHAEL A PLANTHOLT MD (NPI 1346817566) is an individual family medicine provider in Normal, Illinois, licensed in Michigan (4351048691) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1346817566
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRACHAEL A PLANTHOLTCredential: MD
Location Address1437 E COLLEGE AVENormal, IL 61761-2085
Mailing Address611 W Park, FapcUrbana, IL 61802 · (217) 902-6954 · Fax (217) 902-7711
Fax(309) 862-5705
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2021
Enumeration DateJune 7, 2021
Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1346817566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4351048691
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.
1437 E COLLEGE AVE, Normal, IL 61761

Secondary Practice Location 1

Location 1300 Lafayette Ave SE Ste 4000Grand Rapids, MI 49503-4692 · Phone (616) 685-6922

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

Rachael A Plantholt 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 ID1759782287
PECOS Enrollment IDI20240909000558
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.

Hospital Affiliations CMS Care Compare

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Internal Medicine
1437 E COLLEGE AVE
NORMAL, IL 61761
Family Medicine
1437 E COLLEGE AVE
NORMAL, IL 61761
Internal Medicine
1437 E COLLEGE AVE
NORMAL, IL 61761
Physician Assistant (Surgical)
1437 E COLLEGE AVE
NORMAL, IL 61761
Nurse Practitioner (Family)
1437 E COLLEGE AVE
NORMAL, IL 61761

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 Rachael Plantholt's NPI number?

The NPI number for Rachael Plantholt is 1346817566. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Rachael Plantholt located?

Rachael Plantholt practices at 1437 E College Ave, Normal, IL 61761. The listed phone number is (309) 862-5700.

What is Rachael Plantholt's specialty?

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

Is Rachael Plantholt enrolled in Medicare?

Yes. Rachael Plantholt 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.

Is Rachael Plantholt affiliated with any hospitals?

According to CMS data, Rachael Plantholt is affiliated with Carle Bromenn Medical Center.

When was this NPI record last updated?

The NPPES record for Rachael Plantholt was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.