MONICA PLOETZKE M.D.
NPI 1396158200
Obstetrics & Gynecology in Waterloo, IA
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 Allen Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Monica Ploetzke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Johnston, IA 50131
- Reassigned Medicare billing, Iowa enrollment
- 1,506 clinicians in this Medicare group
Timmonsville, SC 29161
- Reassigned Medicare billing, South Carolina enrollment
- 215 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allen Hospital
Acute Care Hospitals · Waterloo, IAMcleod Health Clarendon
Acute Care Hospitals · Manning, SCPhysician 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.
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.
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 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.
Where is Monica Ploetzke located?
Monica Ploetzke practices at 146 W Dale St Ste 102, Waterloo, IA 50703. The listed phone number is (319) 235-5050.
What is Monica Ploetzke's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Monica Ploetzke enrolled in Medicare?
Yes. Monica Ploetzke 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 Monica Ploetzke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Ploetzke reassigns Medicare benefits to 2 organizations: Iowa Physicians Clinic Medical Foundation (Johnston, IA) and Mcleod Health Clarendon (Timmonsville, SC). 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 Monica Ploetzke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Ploetzke accept?
Health plans from BlueCross BlueShield of South Carolina, InStil Health and Wellmark Health Plan of Iowa, Inc. list Monica Ploetzke 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 Monica Ploetzke affiliated with any hospitals?
According to CMS data, Monica Ploetzke is affiliated with Allen Hospital and Mcleod Health Clarendon.
When was this NPI record last updated?
The NPPES record for Monica Ploetzke was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Monica Ploetzke, M.D. · NPI 1396158200
Obstetrics & Gynecology physician in Waterloo, Iowa. Individual provider, active in the CMS NPPES registry since June 9, 2014.
## Identity
- **NPI:** 1396158200 (Entity type: Individual)
- **Enumerated:** June 9, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD-56637 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 146 W DALE ST STE 102, Waterloo, IA 50703-1901
- **Phone:** (319) 235-5050
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Iowa Physicians Clinic Medical Foundation (NPI 1891127502, Johnston, IA); Mcleod Health Clarendon (NPI 1003461773, Timmonsville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 28, 2026
- **Other identifiers:** Medicaid 369773 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1396158200) · Data from the CMS NPPES public registry.