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JORGE PLASENCIA M.D.
NPI 1760466346
Family Medicine in Saginaw, MI

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
4705 TOWNE CTR, SUITE 202, SAGINAW, MI 48604(989) 791-3401(989) 791-3466 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jorge Plasencia M.d. NPPES

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

JORGE PLASENCIA M.D. (NPI 1760466346) is an individual family medicine provider in Saginaw, Michigan, licensed in Michigan (4301068139) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1760466346
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJORGE PLASENCIACredential: M.D.
Location Address4705 TOWNE CTR, SUITE 202Saginaw, MI 48604-2818
Mailing Address4449 Fashion Square BlvdSaginaw, MI 48603-5217 · (989) 790-0007 · Fax (989) 790-7547
Phone(989) 791-3401
Fax(989) 791-3466
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 6, 2005
Last NPPES UpdateDecember 20, 2011
✔ NPI 1760466346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301068139
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.
4705 TOWNE CTR, Saginaw, MI 48604
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Other Identifiers 3

Medicare UPING93568MI
Medicaid4767454MI
Medicare ID-Type Unspecified0P20440MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Jorge Plasencia 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 ID7113914227
PECOS Enrollment IDI20040429001068
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 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.

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
107 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
27 services13 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
25 services15 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
24 services24 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%8,066 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
14%118 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%1,442 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,661 patients5/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%1,661 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
84%1,661 patients5/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims44 services$4.21 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers14 claims14 services$25.08 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$16.40 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers21 claims118 services$1.68 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
7 suppliers13 claims13 services$8.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$94.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC
Psychiatry & Neurology (Neurology)
4705 TOWNE CTR, STE. 201
SAGINAW, MI 48604
Saginaw County (989) 799-2770
MYMICHIGAN MEDICAL CENTER SAGINAW
Surgery (Trauma Surgery)
4705 TOWNE CTR, SUITE 104
SAGINAW, MI 48604
Saginaw County (989) 497-3157
LIOUDMILA KINACHTCHOUK M.D.
Internal Medicine
4705 TOWNE CTR, SUITE 102
SAGINAW, MI 48604
Saginaw County (989) 790-2984
JENNIFER RADEWAHN PA
Physician Assistant
4705 TOWNE CTR, STE 102
SAGINAW, MI 48604
Saginaw County (989) 790-2941
JACOB C. NINAN MD PC
Internal Medicine (Hematology & Oncology)
4705 TOWNE CTR, SUITE 204
SAGINAW, MI 48604
Saginaw County (989) 799-6110
NIKOLAI KINACHTCHOUK M.D.
Internal Medicine
4705 TOWNE CTR, SUITE 102
SAGINAW, MI 48604
Saginaw County (989) 790-2984
JEFFREY R LEVIN MD PC
Psychiatry & Neurology (Neurology)
4705 TOWNE CTR, STE 302
SAGINAW, MI 48604
Saginaw County (989) 249-8001
MYMICHIGAN MEDICAL CENTER SAGINAW
Plastic Surgery
4705 TOWNE CTR, SUITE 104
SAGINAW, MI 48604
Saginaw County (989) 497-3157

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 Jorge Plasencia's NPI number?

The NPI number for Jorge Plasencia is 1760466346. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Jorge Plasencia located?

Jorge Plasencia practices at 4705 Towne Ctr Suite 202, Saginaw, MI 48604. The listed phone number is (989) 791-3401.

What is Jorge Plasencia's specialty?

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

Is Jorge Plasencia enrolled in Medicare?

Yes. Jorge Plasencia 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.

What insurance does Jorge Plasencia accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jorge Plasencia 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 Jorge Plasencia affiliated with any hospitals?

According to CMS data, Jorge Plasencia is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Jorge Plasencia was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.