DR. JOSE A PLAZA MD
NPI 1578622841
Pathology - Anatomic Pathology & Clinical Pathology in Columbus, OH

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
901 WOODY HAYES DR, COLUMBUS, OH 43210(614) 293-4144(614) 293-7634 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 21, 2024, Mar 25, 2020, Mar 20, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Jose A Plaza Md NPPES

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

DR. JOSE A PLAZA MD (NPI 1578622841) is an individual anatomic pathology & clinical pathology provider in Columbus, Ohio, licensed in Ohio (35086479) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1578622841
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JOSE A PLAZACredential: MD
Location Address901 WOODY HAYES DRColumbus, OH 43210-4013
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4144 · Fax (614) 293-7634
Fax(614) 293-7634
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 21, 20244 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1578622841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in OH · 35086479
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

901 WOODY HAYES DR, Columbus, OH 43210

Other Names 1

Other Name (5)Jose A Plaza Meneses Md

Secondary Practice Location 1

Location 12050 Kenny RdColumbus, OH 43221-3502 · Phone (614) 293-4144 · Fax (614) 293-7634

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

Dr. Jose A Plaza 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.

PECOS PAC ID6204836281
PECOS Enrollment IDI20200331003391
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
754 services488 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
292 services64 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
226 services109 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
160 services62 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
148 services29 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
97 services15 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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 Jose Plaza's NPI number?

The NPI number for Jose Plaza is 1578622841. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jose Plaza located?

Jose Plaza practices at 901 Woody Hayes Dr, Columbus, OH 43210. The listed phone number is (614) 293-4144.

What is Jose Plaza's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jose Plaza enrolled in Medicare?

Yes. Jose Plaza 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 Jose Plaza accept?

Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Texas and CareSource list Jose Plaza 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 Jose Plaza affiliated with any hospitals?

According to CMS data, Jose Plaza is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Jose Plaza was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.