DR. PATRICIA ANN PLE-PLAKON M.D.
NPI 1851603500
Ophthalmology in Arlington, TX

Q: 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.

Q: What is Patricia Ple-plakon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since July 10, 2010PECOS EnrolledAccepts Medicare Assignment

89.69/100

CMS Quality Rating

801 ROAD TO SIX FLAGS W STE 131, ARLINGTON, TX 76012(817) 987-1248 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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 and is a graduate of University Of Michigan Medical School (2010).

NPPES Registry Identity

NPI1851603500

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. PATRICIA ANN PLE-PLAKONCredential: M.D.

Location Address801 ROAD TO SIX FLAGS W STE 131Arlington, TX 76012-2600

Mailing Address801 Road To Six Flags W Ste 131Arlington, TX 76012-2600 · (817) 987-1248

Phone(817) 987-1248

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2010

Enumeration DateJuly 10, 2010

Last NPPES UpdateFebruary 16, 2024

NPPES CertifiedFebruary 16, 2024

✔ NPI 1851603500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in TX · Q0994✔ Licensed in MI · 4301097018

Definition

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.

801 ROAD TO SIX FLAGS W STE 131, Arlington, TX 76012

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. 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.

PECOS PAC ID6608196803

PECOS Enrollment IDI20150528001902

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.

Areas of Expertise CMS Part B claims 15

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.

593 services233 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.

520 services239 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

187 services80 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

133 services133 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

69 services48 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

60 services58 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

59 services52 patients

Fitting of contact lens for treatment of eye surface disease 92071

Fitting of contact lenses for eye surface disease involves a specialist assessing your eye condition and prescribing special lenses. These lenses help protect the eye surface, promote healing, and improve vision. It's a safe, non-invasive treatment.

46 services22 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

42 services29 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

28 services27 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

27 services22 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

27 services23 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

24 services24 patients

Removal of growth of cornea 65400

The removal of a corneal growth is a procedure to eliminate abnormal tissue from the cornea, the clear front surface of the eye. This can help improve vision and alleviate discomfort. The process is typically performed by an ophthalmologist under local anesthesia.

17 services13 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

14 services13 patients

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.

New Patient

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.07

Promoting Interoperability

100

Improvement Activities

Cost

81.57

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.

AALEYA FARUK KOREISHI MD

Ophthalmology

801 ROAD TO SIX FLAGS W STE 131
ARLINGTON, TX 76012

Tarrant County (817) 987-1248

AALEYA KOREISHI MD PA

Ophthalmology

801 ROAD TO SIX FLAGS W STE 131
ARLINGTON, TX 76012

Tarrant County (817) 987-1248

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.