JOHN H PLESCIA M.D.
NPI 1366671463
Family Medicine in Oregon, IL
About John H Plescia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN H PLESCIA M.D. (NPI 1366671463) is an individual family medicine provider in Oregon, Illinois, licensed in Illinois (036-129499) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains a secondary practice location in Oregon.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John H Plescia 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.
Medicare Billing Reassignments
5Medicare enrollment records show John Plescia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mt Morris, IL 61054
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Oregon, IL 61061
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Dixon, IL 61021
- Reassigned Medicare billing, Illinois enrollment
- 130 clinicians in this Medicare group
Mendota, IL 61342
- Reassigned Medicare billing, Illinois enrollment
- 39 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Katherine Shaw Bethea Hospital
Acute Care Hospitals · Dixon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OREGON, IL 61061
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 John Plescia's NPI number?
The NPI number for John Plescia is 1366671463. It was assigned to this individual provider in the NPPES registry on July 9, 2009.
Where is John Plescia located?
John Plescia practices at 1307 W Washington St, Oregon, IL 61061. The listed phone number is (815) 732-3151.
What is John Plescia's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Plescia enrolled in Medicare?
Yes. John Plescia 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.
Which organizations bill Medicare for John Plescia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Plescia reassigns Medicare benefits to 5 organizations: Board Of Trustees Of The University Of Illinois (Mt Morris, IL), Serenity Hospice And Home (Oregon, IL), Ksb Medical Group, Inc. (Dixon, IL), Community Health Partnership Of Illinois (Mendota, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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 John Plescia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Plescia accept?
Health plans from Quartz list John Plescia 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 John Plescia affiliated with any hospitals?
According to CMS data, John Plescia is affiliated with Katherine Shaw Bethea Hospital.
When was this NPI record last updated?
The NPPES record for John Plescia was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# John H Plescia, M.D. · NPI 1366671463
Family Medicine physician in Oregon, Illinois. Individual provider, active in the CMS NPPES registry since July 9, 2009.
## Identity
- **NPI:** 1366671463 (Entity type: Individual)
- **Enumerated:** July 9, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036-129499 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1307 W WASHINGTON ST, Oregon, IL 61061-1001
- **Phone:** (815) 732-3151 · **Fax:** (815) 732-3718
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Board Of Trustees Of The University Of Illinois (NPI 1033157755, Mt Morris, IL); Serenity Hospice And Home (NPI 1184661100, Oregon, IL); Ksb Medical Group, Inc. (NPI 1073592119, Dixon, IL); Community Health Partnership Of Illinois (NPI 1093981367, Mendota, IL); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 12, 2024
- **Other identifiers:** Medicaid 036129499 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1366671463) · Data from the CMS NPPES public registry.