DR. MONICA LOUISE PLESA M.D.
NPI 1851525091
Family Medicine in Santa Monica, CA

Active since May 01, 2009PECOS EnrolledAccepts Medicare Assignment
1920 COLORADO AVE, SANTA MONICA, CA 90404(310) 319-4700(310) 393-5659 Get Directions Write a Review

NPPES record last updated: October 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Monica Louise Plesa M.d. NPPES

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

DR. MONICA LOUISE PLESA M.D. (NPI 1851525091) is an individual family medicine provider in Santa Monica, California, licensed in California (A114578) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2009).

NPPES Registry Identity

NPI1851525091
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MONICA LOUISE PLESACredential: M.D.
Location Address1920 COLORADO AVESanta Monica, CA 90404-3414
Mailing Address1920 Colorado AveSanta Monica, CA 90404-3414 · (310) 319-4700 · Fax (310) 393-5659
Fax(310) 393-5659
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2009
Enumeration DateMay 1, 2009
Last NPPES UpdateOctober 18, 2013
✔ NPI 1851525091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A114578
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.
1920 COLORADO AVE, Santa Monica, CA 90404

Other Identifiers 3

Medicare PINGI075YCA
Medicaid,0A1145780CA
Medicare PINGI075XCA

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. Monica Louise Plesa 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 ID8224284203
PECOS Enrollment IDI20120807000413
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

2

Medicare enrollment records show Monica Plesa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 MICHIGAN AVE
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services29 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.
74 services68 patients
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.
50 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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
6 suppliers17 claims58 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims20 services$1.20 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.

Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Psychologist (Clinical)
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404

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 Monica Plesa's NPI number?

The NPI number for Monica Plesa is 1851525091. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Monica Plesa located?

Monica Plesa practices at 1920 Colorado Ave, Santa Monica, CA 90404. The listed phone number is (310) 319-4700.

What is Monica Plesa's specialty?

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

Is Monica Plesa enrolled in Medicare?

Yes. Monica Plesa 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 Monica Plesa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Plesa reassigns Medicare benefits to 2 organizations: Regents University Of California (Santa Monica, CA) and The Regents Of The University Of California (Los Angeles, CA). 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 Monica Plesa'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 Monica Plesa was last updated on October 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.