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DR. PAUL F PLOEGMAN M.D.
NPI 1871517466
Pediatrics in Carbondale, IL

Active since July 27, 2006PECOS Enrolled
1111 CEDAR CT, CARBONDALE, IL 62901(618) 529-8687(618) 529-8688 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Paul F Ploegman M.d. NPPES

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

DR. PAUL F PLOEGMAN M.D. (NPI 1871517466) is an individual pediatrics provider in Carbondale, Illinois and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871517466
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PAUL F PLOEGMANCredential: M.D.
Location Address1111 CEDAR CTCarbondale, IL 62901-5333
Mailing Address1111 Cedar CtCarbondale, IL 62901-5333 · (618) 529-8687 · Fax (618) 529-8688
Phone(618) 529-8687
Fax(618) 529-8688
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1871517466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1111 CEDAR CT, Carbondale, IL 62901
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Other Identifiers 2

Medicare UPINB28346IL
Medicare ID-Type Unspecified396790IL · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul F Ploegman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

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

Avera Queen Of Peace
617 mi
Critical Access
525 N FOSTER ST
Mitchell, SD 57301
  • Reassigned Medicare billing, South Dakota enrollment
  • 94 clinicians in this Medicare group
NPI 1992466635 (605) 995-2000
Sidney Health Center
1,022 mi
Critical Access
216 14TH AVE SW
Sidney, MT 59270
  • Reassigned Medicare billing, Montana enrollment
  • 211 clinicians in this Medicare group
NPI 1285719161 (406) 488-2100
Scl Health Medical Group-Butte LLC
1,309 mi
Rural Health
214 S MAIN ST
Boulder, MT 59632
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
NPI 1861031122 (406) 225-4201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Paul Ploegman's NPI number?

The NPI number for Paul Ploegman is 1871517466. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Paul Ploegman located?

Paul Ploegman practices at 1111 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 529-8687.

What is Paul Ploegman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Ploegman enrolled in Medicare?

Yes. Paul Ploegman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Ploegman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Ploegman reassigns Medicare benefits to 3 organizations: Avera Queen Of Peace (Mitchell, SD), Sidney Health Center (Sidney, MT) and Scl Health Medical Group-Butte LLC (Boulder, MT). 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 Paul Ploegman'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 Paul Ploegman was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.