MICHAEL D PLOTKIN DO
NPI 1881636819
Family Medicine in Brown Deer, WI

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
9233 N GREEN BAY RD, BROWN DEER, WI 53209(414) 270-8150 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael D Plotkin Do NPPES

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

MICHAEL D PLOTKIN DO (NPI 1881636819) is an individual family medicine provider in Brown Deer, Wisconsin, licensed in Wisconsin (39967) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1997).

NPPES Registry Identity

NPI1881636819
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL D PLOTKINCredential: DO
Location Address9233 N GREEN BAY RDBrown Deer, WI 53209-1103
Mailing Address4425 N Port Washington Rd, Attn: Clinic CredentialingGlendale, WI 53212-1082 · (414) 270-8150
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1997
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 12, 2012
NPI 1881636819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 39967
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.
9233 N GREEN BAY RD, Brown Deer, WI 53209

Other Identifiers 2

Medicaid30097900WI
Medicare UPINH20801WI

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

Michael D Plotkin Do 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 ID4789587585
PECOS Enrollment IDI20040129000536
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 3

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.
196 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 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.
56 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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
11 suppliers31 claims91 services$5.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims14 services$0.92 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
2 suppliers11 claims12 services$183.47 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 10

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

Physician Assistant
9233 N GREEN BAY RD
BROWN DEER, WI 53209
Pharmacy (Long Term Care Pharmacy)
9233 N GREEN BAY RD
BROWN DEER, WI 53209
Durable Medical Equipment & Medical Supplies
9233 N GREEN BAY RD
BROWN DEER, WI 53209
Family Medicine
9233 N GREEN BAY RD
BROWN DEER, WI 53209
Family Medicine
9233 N GREEN BAY RD
BROWN DEER, WI 53209
Surgery
9233 N GREEN BAY RD
BROWN DEER, WI 53209
Family Medicine
9233 N GREEN BAY RD
BROWN DEER, WI 53209
Nurse Practitioner
9233 N GREEN BAY RD
BROWN DEER, WI 53209

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 Michael Plotkin's NPI number?

The NPI number for Michael Plotkin is 1881636819. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Michael Plotkin located?

Michael Plotkin practices at 9233 N Green Bay Rd, Brown Deer, WI 53209. The listed phone number is (414) 270-8150.

What is Michael Plotkin's specialty?

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

Is Michael Plotkin enrolled in Medicare?

Yes. Michael Plotkin 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 Michael Plotkin accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Michael Plotkin 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.

Is Michael Plotkin affiliated with any hospitals?

According to CMS data, Michael Plotkin is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Michael Plotkin was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.