PETER N/A PLUSCHT III M.D.
NPI 1639177470
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mobile, AL

Q: What is Peter Pluscht's NPI number?

The NPI number for Peter Pluscht is 1639177470. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Peter Pluscht's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Pluscht was last updated on May 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1855 SPRINGHILL AVE, MOBILE, AL 36607(251) 471-3544(251) 476-7254 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Peter N/a Pluscht Iii M.d. NPPES

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

PETER N/A PLUSCHT III M.D. (NPI 1639177470) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Mobile, Alabama, licensed in Alabama (00013845) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1991).

NPPES Registry Identity

NPI1639177470

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NamePETER N/A PLUSCHT IIICredential: M.D.

Location Address1855 SPRINGHILL AVEMobile, AL 36607-2301

Mailing Address1855 Springhill AveMobile, AL 36607-2301 · (251) 471-3544 · Fax (251) 476-7254

Phone(251) 471-3544

Fax(251) 476-7254

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1991

Enumeration DateJuly 13, 2005

Last NPPES UpdateMay 25, 2016

✔ NPI 1639177470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in AL · 00013845

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1855 SPRINGHILL AVE, Mobile, AL 36607

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Other Identifiers 5

Medicare UPINE87625

Medicare PINE87625AL

Medicaid000023467AL

Other510-51961AL · Blue Cross Blue Shield

Other510-51962AL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Peter N/a Pluscht Iii 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 ID8123048634

PECOS Enrollment IDI20051129000835

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 15

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.

New patient office or other outpatient visit, 60-74 minutes 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

100 services100 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

89 services79 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

54 services54 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

48 services48 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

39 services39 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

27 services27 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

21 services20 patients

New patient office or other outpatient visit, 30-44 minutes 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.

20 services20 patients

Replacement of aortic valve on heart-lung machine 33405

The aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.

18 services18 patients

Replacement of mitral valve on heart-lung machine 33430

Mitral valve replacement involves a surgeon removing a damaged or diseased mitral valve in your heart and replacing it with a new, healthy one. This is done while your body is connected to a heart-lung machine, which takes over your heart's pumping function during the procedure.

15 services15 patients

Coronary artery bypass using vein or artery graft, 3 grafts 33519

A coronary artery bypass with 3 grafts is a surgery to improve blood flow to the heart. Veins or arteries from other parts of your body are used to bypass blocked coronary arteries. This helps to restore normal blood flow to the heart, reducing the risk of heart disease.

14 services14 patients

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268

This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.

12 services12 patients

Exposure of groin artery for delivery of graft 34713

This procedure involves the surgeon making a small incision in the groin area to access a major artery. A graft, which is a special tube, is then placed into the artery to help improve blood flow. It's a common procedure for treating vascular conditions.

12 services12 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Coronary artery bypass graft (CABG) NAN07

Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.

0 services140 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36607 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

$161.63 typical visit price

range $52.65 – $161.63

Typical copayment $40.40 (range $13.16 – $40.40)

Most-billed visit code 99205

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 10

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

JOHN WILLIAM BOYER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)