DR. MARK D PLUNKETT MD
NPI 1518991074
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Peoria, IL
About Dr. Mark D Plunkett Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK D PLUNKETT MD (NPI 1518991074) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Peoria, Illinois, licensed in Illinois (036-093440) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Augusta, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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
Dr. Mark D 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mark Plunkett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Cartersville, GA 30121
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 1,151 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 61603 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61603
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 Mark Plunkett's NPI number?
The NPI number for Mark Plunkett is 1518991074. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Mark Plunkett located?
Mark Plunkett practices at 420 NE Glen Oak Ave Ste 301 Suite 301, Peoria, IL 61603. The listed phone number is (309) 655-3453.
What is Mark Plunkett's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Mark Plunkett enrolled in Medicare?
Yes. Mark 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 Mark Plunkett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Plunkett reassigns Medicare benefits to 3 organizations: Osf Multi-Specialty Group (Peoria, IL), Wellstar Medical Group, LLC (Cartersville, GA) and Au Medical Associates Inc (Augusta, GA). 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 Mark Plunkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Plunkett accept?
Health plans from Oscar Health list Mark 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 Mark Plunkett was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Mark D Plunkett, MD · NPI 1518991074
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1518991074 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 036-093440 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 NE GLEN OAK AVE STE 301, SUITE 301, Peoria, IL 61603-3169
- **Phone:** (309) 655-3453 · **Fax:** (309) 624-3852
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Wellstar Medical Group, LLC (NPI 1588059653, Cartersville, GA); Au Medical Associates Inc (NPI 1841230620, Augusta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** January 6, 2023
- **Other identifiers:** Medicaid 00G809460 (CA); Medicaid 7100053080 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1518991074) · Data from the CMS NPPES public registry.