DR. BERTRAM OLIVER PLOOG PH.D., BCBA-D
NPI 1841426665
Psychologist in Staten Island, NY
About Dr. Bertram Oliver Ploog Ph.d., Bcba-d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BERTRAM OLIVER PLOOG PH.D., BCBA-D (NPI 1841426665) is an individual psychologist in Staten Island, New York, licensed in New York (021285) and active in the NPI registry since June 2009. He is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bertram Oliver Ploog Ph.d., Bcba-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bertram Ploog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, New York enrollment
- 144 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.
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 Bertram Ploog's NPI number?
The NPI number for Bertram Ploog is 1841426665. It was assigned to this individual provider in the NPPES registry on June 8, 2009.
Where is Bertram Ploog located?
Bertram Ploog practices at 56 Saint Marks Pl, Staten Island, NY 10301. The listed phone number is (718) 982-4083.
What is Bertram Ploog's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Bertram Ploog enrolled in Medicare?
Yes. Bertram Ploog is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bertram Ploog's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bertram Ploog reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Bertram Ploog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bertram Ploog was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.