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ERIN PLUMLEY PSYD
NPI 1366996928
Clinical Neuropsychologist in Madison, WI

Active since August 11, 2016PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
20 S PARK ST, MADISON, WI 53715(608) 287-2090(608) 287-2086 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2021, Aug 11, 2016 (2 updates tracked since 2016).

About Erin Plumley Psyd NPPES

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

ERIN PLUMLEY PSYD (NPI 1366996928) is an individual clinical neuropsychologist in Madison, Wisconsin, licensed in Wisconsin (3376) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366996928
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameERIN PLUMLEYCredential: PSYD
Location Address20 S PARK STMadison, WI 53715-1348
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 287-2090
Fax(608) 287-2086
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 11, 2016
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1366996928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in WI · 3376
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
20 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Erin Plumley Psyd 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 ID4789979014
PECOS Enrollment IDI20160825000032
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 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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
143 services141 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
142 services142 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
136 services128 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
128 services128 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
36 services26 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane 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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

JEFFREY S BLAKESLEY DO
Psychiatry & Neurology (Neurology)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2090
ELIZA A. BENNETT M.D.
Obstetrics & Gynecology
20 S PARK ST, OB/GYN CLINIC
MADISON, WI 53715
Dane County (608) 287-2830
RANDY S HEIDEL MD
Internal Medicine
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2250
ANGELA B. MORGAN PA-C
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2250
LUKE CHRISTOPHER ADDESSO MD
Pediatrics
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2580
ELIZABETH RUSHING PA
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2090
DR. SONYA THOMPSON MD
Obstetrics & Gynecology
20 S PARK ST
MADISON, WI 53715
Dane County (608) 914-2200
SHANDA R WELLS PHD
Psychologist
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2340

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 Erin Plumley's NPI number?

The NPI number for Erin Plumley is 1366996928. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Where is Erin Plumley located?

Erin Plumley practices at 20 S Park St, Madison, WI 53715. The listed phone number is (608) 287-2090.

What is Erin Plumley's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Erin Plumley enrolled in Medicare?

Yes. Erin 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 Erin Plumley accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Erin 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 Erin Plumley affiliated with any hospitals?

According to CMS data, Erin Plumley is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Erin Plumley was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.