DR. WILLIAM G PLUNKETT MD
NPI 1871553016
Internal Medicine in Hammond, LA

Q: What is William Plunkett's NPI number?

The NPI number for William Plunkett is 1871553016. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is William Plunkett's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for William Plunkett was last updated on December 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment

15813 PAUL VEGA MD DR STE 300, HAMMOND, LA 70403(985) 230-7675(985) 230-7677 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. William G Plunkett Md NPPES

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

DR. WILLIAM G PLUNKETT MD (NPI 1871553016) is an individual internal medicine provider in Hammond, Louisiana, licensed in Louisiana (MD.07053R) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Eastern Virginia Medical School (1983).

NPPES Registry Identity

NPI1871553016

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. WILLIAM G PLUNKETTCredential: MD

Location Address15813 PAUL VEGA MD DR STE 300Hammond, LA 70403-1431

Mailing AddressPo Box 3087Hammond, LA 70404-3087 · (985) 230-3653 · Fax (985) 370-7409

Phone(985) 230-7675

Fax(985) 230-7677

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1983

Enumeration DateMarch 23, 2006

Last NPPES UpdateDecember 30, 2022

NPPES CertifiedDecember 30, 2022

✔ NPI 1871553016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in LA · MD.07053R✔ Licensed in NC · 2006-00034

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

15813 PAUL VEGA MD DR STE 300, Hammond, LA 70403

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Other Identifiers 3

Medicaid5902879NC

Medicaid1359246LA

Other141Y2NC · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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. William G Plunkett Md 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 ID8426063587

PECOS Enrollment IDI20100518000182

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 4

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.

381 services157 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

47 services36 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

25 services21 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

20 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190015

Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70403 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 3

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

10 suppliers27 claims78 services$5.65 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims20 services$1.02 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers61 claims63 services$196.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN ZACHARIA M.D.

Internal Medicine