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DR. TIMOTHY J PLUARD MD
NPI 1396761698
Internal Medicine - Medical Oncology in Kansas City, MO

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4401 WORNALL RD, KANSAS CITY, MO 64111(816) 932-3300 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy J Pluard Md NPPES

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

DR. TIMOTHY J PLUARD MD (NPI 1396761698) is an individual medical oncology provider in Kansas City, Missouri, licensed in Missouri (104098) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Washington University School Of Medicine (1987).

NPPES Registry Identity

NPI1396761698
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. TIMOTHY J PLUARDCredential: MD
Location Address4401 WORNALL RDKansas City, MO 64111-3220
Mailing Address901 E 104th St, Mailstop 400sKansas City, MO 64131-4517 · (816) 932-3300 · Fax (816) 932-5793
Phone(816) 932-3300
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1987
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1396761698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MO · 104098
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
4401 WORNALL RD, Kansas City, MO 64111
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, UnitedHealthcare.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

Dr. Timothy J Pluard Md 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 ID8426005711
PECOS Enrollment IDI20050408000002
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
235 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
108 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$168.52 typical visit price
range $55.29 – $168.52
Typical copayment $42.13 (range $13.82 – $42.13)
Most-billed visit code 99205
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers39 claims2,431 services$0.63 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers24 claims24 services$17.44 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers16 claims16 services$12.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TANESHA ANTANETTE HURT RN
Registered Nurse (Neonatal Intensive Care)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2007
MARIA AKRAM SHEIKH M.D.
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
YURI SHIF M.D.
Radiology (Diagnostic Radiology)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2550
LAURA SHELBY REYNOLDS CAA
Anesthesiologist Assistant
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2000
TYLER PORTER MD
Internal Medicine
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
DR. LISA MARIE HERMES M.D.
Physical Medicine & Rehabilitation
4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4
KANSAS CITY, MO 64111
Jackson County (816) 932-2020
CHRISTINE M. SANKPILL M.D.
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
DR. JOHN LOREI M.D.
Emergency Medicine (Emergency Medical Services)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2047

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 Timothy Pluard's NPI number?

The NPI number for Timothy Pluard is 1396761698. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Timothy Pluard located?

Timothy Pluard practices at 4401 Wornall Rd, Kansas City, MO 64111. The listed phone number is (816) 932-3300.

What is Timothy Pluard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Timothy Pluard enrolled in Medicare?

Yes. Timothy Pluard 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 Timothy Pluard accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Timothy Pluard 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 Timothy Pluard affiliated with any hospitals?

According to CMS data, Timothy Pluard is affiliated with Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Pluard was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.