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DR. SARAH TYLER PLUMMER MD
NPI 1760682413
Pediatrics - Pediatric Cardiology in Durham, NC

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
5515 S ROXBORO ST, #24, DURHAM, NC 27713(919) 699-2411 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1760682413
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SARAH TYLER PLUMMERCredential: MD
Location Address5515 S ROXBORO ST, #24Durham, NC 27713-7241
Mailing Address5515 S Roxboro St, #24Durham, NC 27713-7241 · (919) 699-2411
Phone(919) 699-2411
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2006
Enumeration DateJuly 20, 2007
Last NPPES UpdateJune 19, 2015
✔ NPI 1760682413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NC · MT173838
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License MT188885T (PA), MD436553 (PA)
5515 S ROXBORO ST, Durham, NC 27713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

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.

PECOS PAC ID4880746098
PECOS Enrollment IDI20150910000743
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.

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, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number363302
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

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.