MRS. LISA M PLOCK NP
NPI 1528056660
Nurse Practitioner - Family in Columbus, GA

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
2000 10TH AVE, SUITE 200, COLUMBUS, GA 31901(706) 321-3745(706) 321-3749 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lisa M Plock Np NPPES

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

MRS. LISA M PLOCK NP (NPI 1528056660) is an individual family provider in Columbus, Georgia, licensed in Georgia (RN075180) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1528056660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA M PLOCKCredential: NP
Location Address2000 10TH AVE, SUITE 200Columbus, GA 31901-3700
Mailing AddressPo Box 1038Columbus, GA 31902-1038 · (706) 660-6148 · Fax (706) 660-2843
Fax(706) 321-3749
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 12, 2005
Last NPPES UpdateJuly 7, 2014
NPI 1528056660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN075180
2000 10TH AVE, Columbus, GA 31901

Other Identifiers 3

Other581719867066Tricare
Medicaid000806649EGA
Medicare PIN202I508256

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

Mrs. Lisa M Plock Np 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 ID8224094545
PECOS Enrollment IDI20041208000077
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 6

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.
472 services178 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.
56 services52 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers17 claims38 services$6.25 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$37.73 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.

Family Medicine
2000 10TH AVE, SUITE 200
COLUMBUS, GA 31901
Preferred Provider Organization
2000 10TH AVE, SUITE 210
COLUMBUS, GA 31901
Pediatrics (Adolescent Medicine)
2000 10TH AVE, SUITE 400
COLUMBUS, GA 31901
Family Medicine
2000 10TH AVE, SUITE 200
COLUMBUS, GA 31901
Nurse Practitioner
2000 10TH AVE, SUITE 100
COLUMBUS, GA 31901
Obstetrics & Gynecology (Obstetrics)
2000 10TH AVE, SUITE 170
COLUMBUS, GA 31901
Orthopaedic Surgery (Orthopaedic Trauma)
2000 10TH AVE, SUITE 270
COLUMBUS, GA 31901
Physician Assistant (Surgical)
2000 10TH AVE, SUITE 270
COLUMBUS, GA 31901

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 Lisa Plock's NPI number?

The NPI number for Lisa Plock is 1528056660. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Lisa Plock located?

Lisa Plock practices at 2000 10th Ave Suite 200, Columbus, GA 31901. The listed phone number is (706) 321-3745.

What is Lisa Plock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Plock enrolled in Medicare?

Yes. Lisa Plock 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 Lisa Plock accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lisa Plock 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 Lisa Plock affiliated with any hospitals?

According to CMS data, Lisa Plock is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Lisa Plock was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.