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DR. PAULA PLUMMER M.D.
NPI 1528158656
Family Medicine in Houston, TX

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
12606 W HOUSTON CENTER BLVD, SUITE 210, HOUSTON, TX 77082(281) 870-8200(281) 870-8231 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paula Plummer M.d. NPPES

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

DR. PAULA PLUMMER M.D. (NPI 1528158656) is an individual family medicine provider in Houston, Texas, licensed in Texas (F4381) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical School At Houston (1979).

NPPES Registry Identity

NPI1528158656
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAULA PLUMMERCredential: M.D.
Location Address12606 W HOUSTON CENTER BLVD, SUITE 210Houston, TX 77082-2784
Mailing Address12606 W Houston Center Blvd, Suite 210Houston, TX 77082-2784 · (281) 870-8200 · Fax (281) 870-8231
Phone(281) 870-8200
Fax(281) 870-8231
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1979
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 23, 2010
✔ NPI 1528158656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F4381
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.
12606 W HOUSTON CENTER BLVD, Houston, TX 77082
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Other Identifiers 2

Medicare UPINB25554TX
Medicare ID-Type Unspecified00377XTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.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. Paula Plummer M.d. 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 ID7517927080
PECOS Enrollment IDI20041020000219
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 9

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.
322 services99 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.
179 services76 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
169 services79 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
52 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
44 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%61 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
29%2,032 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%628 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%104 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%81 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%628 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%628 patients2/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

DR. SAMANTHA FLOR TSCHEN M.D.
Pediatrics
12606 W HOUSTON CENTER BLVD, SUITE 200
HOUSTON, TX 77082
Harris County (281) 589-9700
M JAMSHIDI DO PLLC
Surgery (Vascular Surgery)
12606 W HOUSTON CENTER BLVD, SUITE 230
HOUSTON, TX 77082
Harris County (281) 496-0121
SOUTHWEST FAMILY PHYSICIANS, PA
Family Medicine
12606 W HOUSTON CENTER BLVD, SUITE 210
HOUSTON, TX 77082
Harris County (281) 870-8200
DR. DAISY ANJEI AYIM MD
Obstetrics & Gynecology
12606 W HOUSTON CENTER BLVD, SUITE 120
HOUSTON, TX 77082
Harris County (713) 640-5922
PARK WEST WOMEN'S ASSOCIATES PLLC
Obstetrics & Gynecology
12606 W HOUSTON CENTER BLVD, SUITE 120
HOUSTON, TX 77082
Harris County (713) 640-5922
INNOVATIVE SENIOR CARE HOME HEALTH OF HOUSTON LLC
Home Health
12606 W HOUSTON CENTER BLVD, STE 300
HOUSTON, TX 77082
Harris County (713) 623-0291
PATCH TESTING CENTER OF EXCELLENCE-HOUSTON
Specialist
12606 W HOUSTON CENTER BLVD, SUITE# 230
HOUSTON, TX 77082
Harris County (281) 558-3376
CARRIE HERMOSA CHIU MD
Pediatrics
12606 W HOUSTON CENTER BLVD, 200
HOUSTON, TX 77082
Harris County (281) 589-9700

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 Paula Plummer's NPI number?

The NPI number for Paula Plummer is 1528158656. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Paula Plummer located?

Paula Plummer practices at 12606 W Houston Center Blvd Suite 210, Houston, TX 77082. The listed phone number is (281) 870-8200.

What is Paula Plummer's specialty?

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

Is Paula Plummer enrolled in Medicare?

Yes. Paula Plummer 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 Paula Plummer accept?

Health plans from Community Health Choice list Paula Plummer 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 Paula Plummer affiliated with any hospitals?

According to CMS data, Paula Plummer is affiliated with Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital, Hca Houston Healthcare West, Houston Methodist Sugarland Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Paula Plummer was last updated on March 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.