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TAMMY LEIGH PLUMMER
NPI 1609383165
Nurse Practitioner - Family in Pottsville, PA

Active since January 05, 2018PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
230 SANDERSON ST, POTTSVILLE, PA 17901(484) 638-2411 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tammy Leigh Plummer NPPES

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

TAMMY LEIGH PLUMMER (NPI 1609383165) is an individual family provider in Pottsville, Pennsylvania, licensed in Pennsylvania (SP017437) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609383165
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMMY LEIGH PLUMMER
Location Address230 SANDERSON STPottsville, PA 17901-1758
Mailing Address162 Allendale RdShoemakersville, PA 19555-9519 · (484) 638-2411
Phone(484) 638-2411
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 5, 2018
✔ NPI 1609383165 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 PA · SP017437
230 SANDERSON ST, Pottsville, PA 17901
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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

Tammy Leigh Plummer 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 ID6305194473
PECOS Enrollment IDI20180806002574
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
198 services177 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.
61 services48 patients
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.
54 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services24 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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 Tammy Plummer's NPI number?

The NPI number for Tammy Plummer is 1609383165. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Tammy Plummer located?

Tammy Plummer practices at 230 Sanderson St, Pottsville, PA 17901. The listed phone number is (484) 638-2411.

What is Tammy Plummer's specialty?

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

Is Tammy Plummer enrolled in Medicare?

Yes. Tammy 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.

Is Tammy Plummer affiliated with any hospitals?

According to CMS data, Tammy Plummer is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Tammy Plummer was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.