DR. ALISHA NICOLE PLOTNER MD
NPI 1477715043
Dermatology in Gahanna, OH

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
540 OFFICENTER PL, STE 240, GAHANNA, OH 43230(614) 293-1707(614) 293-1716 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Mar 5, 2021 (2 updates tracked since 2021).

About Dr. Alisha Nicole Plotner Md NPPES

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

DR. ALISHA NICOLE PLOTNER MD (NPI 1477715043) is an individual dermatology provider in Gahanna, Ohio, licensed in Ohio (35.099187) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Northeastern Ohio University College Of Medicine (2008).

NPPES Registry Identity

NPI1477715043
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ALISHA NICOLE PLOTNERCredential: MD
Location Address540 OFFICENTER PL, STE 240Gahanna, OH 43230-5317
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-1707 · Fax (614) 293-1716
Fax(614) 293-1716
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1477715043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OH · 35.099187
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
540 OFFICENTER PL, Gahanna, OH 43230

Accepted 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. Alisha Nicole Plotner 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 ID244487221
PECOS Enrollment IDI20120827000384
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 14

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 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.
271 services214 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
185 services64 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.
160 services132 patients
Application of ultraviolet light to skin 96900
Application of ultraviolet light to skin is a treatment process where a special type of light is directed onto the skin. It's often used to treat certain skin conditions, like psoriasis or vitiligo. It's a safe, controlled procedure performed by a healthcare professional.
159 services16 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
133 services107 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
77 services65 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
540 OFFICENTER PL, SUITE 270
GAHANNA, OH 43230
Nurse Practitioner
540 OFFICENTER PL, SUITE 240
GAHANNA, OH 43230
Social Worker (Clinical)
540 OFFICENTER PL, SUITE 290
GAHANNA, OH 43230
Home Health
540 OFFICENTER PL, SUITE 295
GAHANNA, OH 43230
Nurse Practitioner
540 OFFICENTER PL
GAHANNA, OH 43230
Dermatology
540 OFFICENTER PL
GAHANNA, OH 43230
Dermatology
540 OFFICENTER PL, SUITE 240
GAHANNA, OH 43230
Dermatology (MOHS-Micrographic Surgery)
540 OFFICENTER PL, SUITE 240
GAHANNA, OH 43230

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 Alisha Plotner's NPI number?

The NPI number for Alisha Plotner is 1477715043. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Alisha Plotner located?

Alisha Plotner practices at 540 Officenter Pl Ste 240, Gahanna, OH 43230. The listed phone number is (614) 293-1707.

What is Alisha Plotner's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Alisha Plotner enrolled in Medicare?

Yes. Alisha Plotner 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 Alisha Plotner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Alisha Plotner 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 Alisha Plotner affiliated with any hospitals?

According to CMS data, Alisha Plotner is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Alisha Plotner was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.