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
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.
Secondary Practice Location 1
Other Identifiers 1
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
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.
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.
What insurance does John Plescia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and 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 with the weekly NPPES data releases published by CMS.
