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DR. RANDY PETER PLONA MD
NPI 1699722702
Family Medicine in Westlake, OH

Active since May 27, 2006PECOS Enrolled
960 CLAGUE RD STE 1100B, WESTLAKE, OH 44145(216) 383-0100(216) 383-6481 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Randy Peter Plona Md NPPES

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

DR. RANDY PETER PLONA MD (NPI 1699722702) is an individual family medicine provider in Westlake, Ohio, licensed in Ohio (34007598P) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699722702
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDY PETER PLONACredential: MD
Location Address960 CLAGUE RD STE 1100BWestlake, OH 44145-1590
Mailing AddressPo Box 74224Cleveland, OH 44194-0002 · (216) 383-6480 · Fax (216) 383-6745
Phone(216) 383-0100
Fax(216) 383-6481
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1699722702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34007598P
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.
960 CLAGUE RD STE 1100B, Westlake, OH 44145
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Other Identifiers 8

OtherP00401083OH · Railroad Care
Other341542312098OH · Caresource
Medicaid2357248OH
Medicare PIN4095377OH
Other000000392507OH · Anthem Bc/bs
Other378646OH · Wellcare
Medicare UPINH73089OH
Medicare ID-Type Unspecified4095371OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy Peter Plona Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Randy Plona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Hospital System, Inc.
18 mi
Vascular Surgery
20050 HARVARD AVE
Warrensville Heights, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
NPI 1669609756 (440) 953-1898

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44145 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

UNIVERSITY HOSPITALS MEDICAL PRACTICES INC
Clinic/Center (Urgent Care)
960 CLAGUE RD STE 1100B
WESTLAKE, OH 44145
Cuyahoga County (440) 250-5366
JAMES MATTHEWS
Family Medicine
960 CLAGUE RD STE 1100B
WESTLAKE, OH 44145
Cuyahoga County (440) 397-4300
UNIVERSITY PRIMARY CARE PRACTICES INC
Clinic/Center (Urgent Care)
960 CLAGUE RD STE 1100B
WESTLAKE, OH 44145
Cuyahoga County (440) 250-5366
UNIVERSITY HOSPITALS URGENT CARE, LLC
Clinic/Center (Urgent Care)
960 CLAGUE RD STE 1100B
WESTLAKE, OH 44145
Cuyahoga County (440) 250-5366

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 Randy Plona's NPI number?

The NPI number for Randy Plona is 1699722702. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Randy Plona located?

Randy Plona practices at 960 Clague Rd Ste 1100B, Westlake, OH 44145. The listed phone number is (216) 383-0100.

What is Randy Plona's specialty?

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

Is Randy Plona enrolled in Medicare?

Yes. Randy Plona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randy Plona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Plona reassigns Medicare benefits to Lake Hospital System, Inc. (Warrensville Heights, OH). The 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 Randy Plona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Plona accept?

Health plans from MedMutual list Randy Plona 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.

When was this NPI record last updated?

The NPPES record for Randy Plona was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.