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LUIS PLUGUEZ PA
NPI 1578114997
Physician Assistant in Monroe, GA

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
2151 W SPRING ST STE B140, MONROE, GA 30655(706) 613-5880 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 18, 2025, Sep 26, 2019 (2 updates tracked since 2019).

About Luis Pluguez Pa NPPES

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

LUIS PLUGUEZ PA (NPI 1578114997) is an individual physician assistant in Monroe, Georgia, licensed in Georgia (10520) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578114997
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLUIS PLUGUEZCredential: PA
Location Address2151 W SPRING ST STE B140Monroe, GA 30655-3211
Mailing Address1061 Dowdy Rd Ste 100Athens, GA 30606-5700 · (706) 621-7555 · Fax (706) 621-7557
Phone(706) 613-5880
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2021
Enumeration DateSeptember 26, 2019
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1578114997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 10520
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2151 W SPRING ST STE B140, Monroe, GA 30655
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Secondary Practice Locations 2

Location 11061 Dowdy Rd Ste 100Athens, GA 30606-5700 · Phone (706) 621-7555 · Fax (706) 621-7557
Location 21364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 727-7825

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Luis Pluguez Pa 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 ID749670024
PECOS Enrollment IDI20211130001812
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 4

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.
44 services38 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.
25 services25 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.
16 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES

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

DR. CRAIG CHIKE AKOH M.D.
Orthopaedic Surgery (Sports Medicine)
2151 W SPRING ST STE B140
MONROE, GA 30655
Walton County (770) 266-1250

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 Luis Pluguez's NPI number?

The NPI number for Luis Pluguez is 1578114997. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Luis Pluguez located?

Luis Pluguez practices at 2151 W Spring St Ste B140, Monroe, GA 30655. The listed phone number is (706) 613-5880.

What is Luis Pluguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Luis Pluguez enrolled in Medicare?

Yes. Luis Pluguez 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 Luis Pluguez accept?

Health plans from Alliant Health Plans, Inc. list Luis Pluguez 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 Luis Pluguez affiliated with any hospitals?

According to CMS data, Luis Pluguez is affiliated with Piedmont Walton Hospital.

When was this NPI record last updated?

The NPPES record for Luis Pluguez was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.