DR. SARAH TYLER PLUMMER MD
NPI 1760682413
Pediatrics - Pediatric Cardiology in Durham, NC
About Dr. Sarah Tyler Plummer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SARAH TYLER PLUMMER MD (NPI 1760682413) is an individual pediatric cardiology provider in Durham, North Carolina, licensed in North Carolina (MT173838) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Rainbow Babies And Childrens Hospital, and is a graduate of Duke University School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Sarah Tyler Plummer Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sarah Plummer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44109
- Reassigned Medicare billing, Ohio enrollment
- 2,147 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rainbow Babies And Childrens Hospital
Childrens · Cleveland, OHMedicare 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.
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 Sarah Plummer's NPI number?
The NPI number for Sarah Plummer is 1760682413. It was assigned to this individual provider in the NPPES registry on July 20, 2007.
Where is Sarah Plummer located?
Sarah Plummer practices at 5515 S Roxboro St #24, Durham, NC 27713. The listed phone number is (919) 699-2411.
What is Sarah Plummer's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Sarah Plummer enrolled in Medicare?
Yes. Sarah 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.
Which organizations bill Medicare for Sarah Plummer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Plummer reassigns Medicare benefits to 2 organizations: The Metrohealth System (Cleveland, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Sarah Plummer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sarah Plummer accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Sarah Plummer 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 Sarah Plummer affiliated with any hospitals?
According to CMS data, Sarah Plummer is affiliated with Rainbow Babies And Childrens Hospital.
When was this NPI record last updated?
The NPPES record for Sarah Plummer was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Sarah Tyler Plummer, MD · NPI 1760682413
Pediatric Cardiology physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since July 20, 2007.
## Identity
- **NPI:** 1760682413 (Entity type: Individual)
- **Enumerated:** July 20, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MT173838 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 5515 S ROXBORO ST, #24, Durham, NC 27713-7241
- **Phone:** (919) 699-2411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Metrohealth System (NPI 1053353896, Cleveland, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** June 19, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1760682413) · Data from the CMS NPPES public registry.