DAVID EDUARDO CASILLAS PLAZOLA MD
NPI 1598228314
Family Medicine in Lancaster, WI

Q: What is David Casillas Plazola's NPI number?

The NPI number for David Casillas Plazola is 1598228314. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is David Casillas Plazola's specialty?

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

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment

507 S MONROE ST, LANCASTER, WI 53813(608) 723-2143 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About David Eduardo Casillas Plazola Md NPPES

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

DAVID EDUARDO CASILLAS PLAZOLA MD (NPI 1598228314) is an individual family medicine provider in Lancaster, Wisconsin, licensed in Wisconsin (75093-20) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Grant Regional Health Center, and is a graduate of Medical College Of Wisconsin (2019).

NPPES Registry Identity

NPI1598228314

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID EDUARDO CASILLAS PLAZOLACredential: MD

Location Address507 S MONROE STLancaster, WI 53813-2099

Mailing Address507 S Monroe StLancaster, WI 53813-2099 · (608) 723-2143

Phone(608) 723-2143

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2019

Enumeration DateApril 9, 2019

Last NPPES UpdateJune 30, 2022

NPPES CertifiedJune 30, 2022

✔ NPI 1598228314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 75093-20

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.

507 S MONROE ST, Lancaster, WI 53813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.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

David Eduardo Casillas Plazola 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 ID4082017090

PECOS Enrollment IDI20220725001536

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.

Medicare Billing Reassignment

Medicare enrollment records show David Casillas Plazola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grant Regional Health Center, Inc.

Same address

Critical Access

507 S MONROE ST
Lancaster, WI 53813

Reassigned Medicare billing, Wisconsin enrollment
53 clinicians in this Medicare group

NPI 1255339867 (608) 723-2143

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services20 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services20 patients

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.

20 services13 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

18 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services12 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Grant Regional Health Center

Critical Access Hospitals · Lancaster, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521322

Location507 S Monroe StLancaster, WI 53813 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53813 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

MS. TRACY M ROESCH

Dietitian, Registered