DR. PATRICIA ANN PLE-PLAKON M.D.
NPI 1851603500
Ophthalmology in Arlington, TX
About Dr. Patricia Ann Ple-plakon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PATRICIA ANN PLE-PLAKON M.D. (NPI 1851603500) is an individual ophthalmology provider in Arlington, Texas, licensed in Texas (Q0994) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Michigan Medical School (2010).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Secondary Practice Locations 2
Accepted 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. Patricia Ann Ple-plakon 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.
Areas of Expertise CMS Part B claims 17
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Patricia Ple-plakon's NPI number?
The NPI number for Patricia Ple-plakon is 1851603500. It was assigned to this individual provider in the NPPES registry on July 10, 2010.
Where is Patricia Ple-plakon located?
Patricia Ple-plakon practices at 801 Road To Six Flags W Ste 131, Arlington, TX 76012. The listed phone number is (817) 987-1248.
What is Patricia Ple-plakon's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Patricia Ple-plakon enrolled in Medicare?
Yes. Patricia Ple-plakon 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 Patricia Ple-plakon accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Patricia Ple-plakon 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.
When was this NPI record last updated?
The NPPES record for Patricia Ple-plakon was last updated on February 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
