DR. MARK D PLUMB M.D.
NPI 1821061367
Internal Medicine - Pulmonary Disease in West Allis, WI

Q: What is Mark Plumb's NPI number?

The NPI number for Mark Plumb is 1821061367. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Q: What is Mark Plumb's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Plumb was last updated on July 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment

2424 S 90TH ST, WEST ALLIS, WI 53227(414) 328-8150 Get Directions Write a Review

NPPES record last updated: July 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2025, Dec 1, 2021 (2 updates tracked since 2021).

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About Dr. Mark D Plumb M.d. NPPES

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

DR. MARK D PLUMB M.D. (NPI 1821061367) is an individual pulmonary disease provider in West Allis, Wisconsin, licensed in Wisconsin (30916) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in West Allis.

NPPES Registry Identity

NPI1821061367

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MARK D PLUMBCredential: M.D.

Location Address2424 S 90TH STWest Allis, WI 53227-2455

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 328-8150

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1988

Enumeration DateFebruary 7, 2006

Last NPPES UpdateJuly 6, 20252 updates tracked since enumeration

NPPES CertifiedJuly 6, 2025

✔ NPI 1821061367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WI · 30916

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2424 S 90TH ST, West Allis, WI 53227

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Secondary Practice Location 1

Location 18905 W Lincoln Ave, Ste 401West Allis, WI 53227-2468 · Phone (414) 328-8270

Other Identifiers 1

Medicaid31587600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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. Mark D Plumb 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 ID3779648787

PECOS Enrollment IDI20090206000479

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

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

Aurora Medical Group, Inc.

0.1 mi

Obstetrics & Gynecology

8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1457592735 (414) 328-8650

Lakeshore Medical Clinic, LLC

7.6 mi

Family Medicine

2000 E LAYTON AVE STE 100
Saint Francis, WI 53235

Reassigned Medicare billing, Wisconsin enrollment
960 clinicians in this Medicare group

NPI 1003861188 (414) 744-6589

Beloit Health System Inc

63 mi

General Practice

5605 E ROCKTON RD
Roscoe, IL 61073

Reassigned Medicare billing, Illinois enrollment
66 clinicians in this Medicare group

NPI 1841485984 (608) 364-5011

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services52 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

45 services15 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

24 services24 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

21 services21 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

14 suppliers228 claims228 services$33.96 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers20 claims38 services$1.23 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

5 suppliers13 claims13 services$11.15 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

12 suppliers204 claims204 services$70.71 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

12 suppliers189 claims510 services$27.31 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers105 claims583 services$14.89 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

10 suppliers71 claims402 services$12.07 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers196 claims196 services$45.25 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

17 suppliers236 claims236 services$15.28 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

6 suppliers12 claims12 services$8.68 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

12 suppliers139 claims139 services$8.63 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

14 suppliers334 claims1,914 services$1.60 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

9 suppliers16 claims16 services$4.27 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

16 suppliers162 claims162 services$11.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers21 claims21 services$14.60 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers30 claims30 services$781.37 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers29 claims29 services$62.04 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

4 suppliers26 claims26 services$183.77 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers30 claims30 services$116.69 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers123 claims123 services$10.55 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers41 claims41 services$3.22 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

9 suppliers385 claims390 services$27.21 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

8 suppliers138 claims138 services$62.41 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers69 claims69 services$28.20 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers30 claims7,500 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

12 suppliers30 claims4,596 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers23 claims1,290 services$0.82 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$30.40 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

13 suppliers59 claims59 services$24.58 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 20

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

DR. SIMIN GOLESTANI M.D.

Surgery

2424 S 90TH ST
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8080

SUSAN MANZ LARSON MD

Physical Medicine & Rehabilitation

2424 S 90TH ST, SUITE 500
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8600

NICOLE F JENSEN LPC

Counselor (Mental Health)

2424 S 90TH ST
WEST ALLIS, WI 53227

Milwaukee County (414) 773-4312

WALTER K T WONG MD SC

Psychiatry & Neurology (Neurology)

2424 S 90TH ST, STE. 202
WEST ALLIS, WI 53227

Milwaukee County (414) 328-7646

DR. JUSTIN WILLIAM PETERSON D.O.

Orthopaedic Surgery

2424 S 90TH ST
WEST ALLIS, WI 53227

Milwaukee County (414) 321-2255

VIRGINIA R KUENZI NP

Nurse Practitioner

2424 S 90TH ST
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8150

JONATHAN E KIECHLE

Urology

2424 S 90TH ST
WEST ALLIS, WI 53227

Milwaukee County (414) 649-1280

LINDSEY MARIA KASTNER PT, DPT, ATC

Physical Therapist

2424 S 90TH ST
WEST ALLIS, WI 53227

Milwaukee County (414) 321-2255

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 Mark Plumb's NPI number?

The NPI number for Mark Plumb is 1821061367. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Mark Plumb located?

Mark Plumb practices at 2424 S 90th St, West Allis, WI 53227. The listed phone number is (414) 328-8150.

What is Mark Plumb's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Plumb enrolled in Medicare?

Yes. Mark Plumb 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 Mark Plumb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Plumb reassigns Medicare benefits to 3 organizations: Aurora Medical Group, Inc. (West Allis, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI) and Beloit Health System Inc (Roscoe, IL). 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 Mark Plumb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Plumb accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Mark Plumb 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 Mark Plumb affiliated with any hospitals?

According to CMS data, Mark Plumb is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Plumb was last updated on July 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.