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SANDRA PLYBON MD
NPI 1487883203
Family Medicine in Fort Collins, CO

Active since July 14, 2009Opted out of Medicare · through Nov 1, 2026
81.07/100
CMS Quality Rating
2038 VERMONT DR UNIT 207, FORT COLLINS, CO 80525(970) 235-1001 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Mar 23, 2016 (2 updates tracked since 2016).

About Sandra Plybon Md NPPES

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

SANDRA PLYBON MD (NPI 1487883203) is an individual family medicine provider in Fort Collins, Colorado, licensed in Colorado (51470) and active in the NPI registry since July 2009. She has opted out of Medicare through November 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487883203
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDRA PLYBONCredential: MD
Location Address2038 VERMONT DR UNIT 207Fort Collins, CO 80525-5755
Mailing Address1327 Eagle DrLoveland, CO 80537-8059 · (970) 619-6450 · Fax (970) 619-6459
Phone(970) 235-1001
Sole ProprietorNo
Enumeration DateJuly 14, 2009
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1487883203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 51470
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2038 VERMONT DR UNIT 207, Fort Collins, CO 80525
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Other Names 1

Former Name (1)Sandra Slamkova Plybon Md

Other Identifiers 1

Medicaid78985340CO

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sandra Plybon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2022 through November 1, 2026.

Opt-Out Effective DateNovember 1, 2022
Opt-Out In Effect ThroughNovember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80525 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

81.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.3
Promoting Interoperability100
Improvement Activities40
Cost56.59

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims49 services$4.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims17 services$0.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers19 claims19 services$82.23 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

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

CHRISTOPHER HODEL
Health and Wellness Coach
2038 VERMONT DR UNIT 207
FORT COLLINS, CO 80525
Larimer County (970) 999-5862

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 Sandra Plybon's NPI number?

The NPI number for Sandra Plybon is 1487883203. It was assigned to this individual provider in the NPPES registry on July 14, 2009. The provider is also known as Sandra Slamkova Plybon MD.

Where is Sandra Plybon located?

Sandra Plybon practices at 2038 Vermont Dr Unit 207, Fort Collins, CO 80525. The listed phone number is (970) 235-1001.

What is Sandra Plybon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandra Plybon enrolled in Medicare?

No. Sandra Plybon has opted out of Medicare through November 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sandra Plybon accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Sandra Plybon 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 Sandra Plybon was last updated on July 29, 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.