MONICA PLOETZKE M.D. - NPI 1396158200 - Obstetrics & Gynecology in Waterloo, IA

Q: What is Monica Ploetzke's NPI number?

The NPI number for Monica Ploetzke is 1396158200. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Q: What is Monica Ploetzke's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Monica Ploetzke was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Monica Ploetzke M.d. NPPES

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

MONICA PLOETZKE M.D. (NPI 1396158200) is an individual obstetrics & gynecology provider in Waterloo, Iowa, licensed in Iowa (MD-56637) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Mcleod Health Clarendon, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396158200

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMONICA PLOETZKECredential: M.D.

Location Address146 W DALE ST STE 102Waterloo, IA 50703-1901

Mailing Address146 W Dale St Ste 102Waterloo, IA 50703-1901 · (319) 235-5050

Phone(319) 235-5050

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 9, 2014

Last NPPES UpdateApril 28, 20263 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1396158200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IA · MD-56637✔ Licensed in SC · 36977

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

146 W DALE ST STE 102, Waterloo, IA 50703

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Secondary Practice Locations 2

Location 11802 Sunset Dr, 2nd Floor, Women's CenterColumbia, SC 29203 · Phone (803) 434-4127 · Fax (803) 434-4155

Location 250 E Hospital St Ste 4AManning, SC 29102 · Phone (803) 433-0797 · Fax (803) 433-0896

Other Identifiers 1

Medicaid369773SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Monica Ploetzke 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.

PECOS PAC ID6103174842

PECOS Enrollment IDI20260318001409

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.

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420109

Location10 East Hospital StreetManning, SC 29102 · Clarendon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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.

GRACE WELP MD

Obstetrics & Gynecology