BETH PLUNKETT MD
NPI 1437180650
Obstetrics & Gynecology - Maternal & Fetal Medicine in Chicago, IL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
680 N LAKE SHORE DR, SUITE1000, CHICAGO, IL 60611(312) 695-9797 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2021, Oct 30, 2020 (2 updates tracked since 2020).

About Beth Plunkett Md NPPES

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

BETH PLUNKETT MD (NPI 1437180650) is an individual maternal & fetal medicine provider in Chicago, Illinois, licensed in Illinois (036101164) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Evanston, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1997).

NPPES Registry Identity

NPI1437180650
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameBETH PLUNKETTCredential: MD
Location Address680 N LAKE SHORE DR, SUITE1000Chicago, IL 60611-4546
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997
Enumeration DateJuly 5, 2006
Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1437180650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in IL · 036101164
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
680 N LAKE SHORE DR, Chicago, IL 60611

Secondary Practice Location 1

Location 12650 Ridge Ave Ste 1420Evanston, IL 60201-1700 · Phone (847) 570-2860

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

Beth Plunkett 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 ID3072582394
PECOS Enrollment IDI20041001000888
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Beth Plunkett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611

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 Beth Plunkett's NPI number?

The NPI number for Beth Plunkett is 1437180650. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Beth Plunkett located?

Beth Plunkett practices at 680 N Lake Shore Dr Suite1000, Chicago, IL 60611. The listed phone number is (312) 695-9797.

What is Beth Plunkett's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Beth Plunkett enrolled in Medicare?

Yes. Beth Plunkett 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 Beth Plunkett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Plunkett reassigns Medicare benefits to 2 organizations: Swedish Covenant Management Services, Inc. (Chicago, IL) and Endeavor Health Medical Group (Evanston, IL). 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 Beth Plunkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beth Plunkett accept?

Health plans from Oscar Health list Beth Plunkett 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.

When was this NPI record last updated?

The NPPES record for Beth Plunkett was last updated on February 11, 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.