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DR. EDWARD J PLECHA M.D.
NPI 1669417598
Surgery - Vascular Surgery in San Diego, CA

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, KAISER PERMANENTE, SAN DIEGO, CA 92120(619) 528-7524(619) 528-7541 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, May 6, 2026, Apr 28, 2026 and 4 more (7 updates tracked since 2021).

About Dr. Edward J Plecha M.d. NPPES

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

DR. EDWARD J PLECHA M.D. (NPI 1669417598) is an individual vascular surgery provider in San Diego, California, licensed in North Carolina (2025-00589) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669417598
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. EDWARD J PLECHACredential: M.D.
Location Address4647 ZION AVE, KAISER PERMANENTESan Diego, CA 92120-2507
Mailing Address4647 Zion Ave, Kaiser PermanenteSan Diego, CA 92120-2507 · (619) 528-7524 · Fax (619) 528-7541
Phone(619) 528-7524
Fax(619) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 5, 20267 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1669417598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in NC · 2025-00589✔ Licensed in CA · A52040
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 2025-00589 (NC)
4647 ZION AVE, San Diego, CA 92120
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 822-6587
Location 21251 Oliver StFayetteville, NC 28304-4450 · Phone (910) 822-6587 · Fax (910) 426-6587

Other Identifiers 1

Medicaid2016909NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.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

Dr. Edward J Plecha 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 ID9133299704
PECOS Enrollment IDI20080609000507, I20250617002047
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 Reassignments

3

Medicare enrollment records show Edward Plecha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000
Cumberland County Hospital System Inc
2,169 mi
Rural Health
405 S MAIN ST
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1447255328 (910) 615-5800
Cape Fear Valley Health Medical Group LLC
2,175 mi
Cardiovascular Disease
210 MEDICAL PAVILION DR
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 411 clinicians in this Medicare group
NPI 1386526085 (910) 904-8010

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

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

ANN MARIE PENA MD
Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DR. SHWETA WARNER M.D.
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 221-6258
DR. MATTHEW JAMES ROOSEVELT M.D.
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
San Diego County (619) 952-5091
RICHARD FUNG
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (626) 278-2749
ARDIS L TASCHNER CRNA
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
JEANNE HAGER DONAHUE LCSW
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5323
DAVID M. LEVINE MD
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DALE K. LIEU MD
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000

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 Edward Plecha's NPI number?

The NPI number for Edward Plecha is 1669417598. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Edward Plecha located?

Edward Plecha practices at 4647 Zion Ave Kaiser Permanente, San Diego, CA 92120. The listed phone number is (619) 528-7524.

What is Edward Plecha's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Edward Plecha enrolled in Medicare?

Yes. Edward Plecha 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.

Which organizations bill Medicare for Edward Plecha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Plecha reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (San Diego, CA), Cumberland County Hospital System Inc (Raeford, NC) and Cape Fear Valley Health Medical Group LLC (Raeford, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Plecha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Plecha accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Edward Plecha 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 Edward Plecha affiliated with any hospitals?

According to CMS data, Edward Plecha is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Plecha was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.