DR. ISABELLA PLUMPTRE MD
NPI 1902368590
Dermatology in Worcester, MA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
281 LINCOLN ST, WORCESTER, MA 01605(508) 334-5979 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2023, Apr 2, 2019 (2 updates tracked since 2019).

About Dr. Isabella Plumptre Md NPPES

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

DR. ISABELLA PLUMPTRE MD (NPI 1902368590) is an individual dermatology provider in Worcester, Massachusetts, licensed in Massachusetts (1014400) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902368590
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ISABELLA PLUMPTRECredential: MD
Location Address281 LINCOLN STWorcester, MA 01605-2138
Mailing AddressPo Box 415348Boston, MA 02241-5348
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 2, 2019
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
NPI 1902368590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MA · 1014400
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
281 LINCOLN ST, Worcester, MA 01605

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. Isabella Plumptre 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 ID8820327802
PECOS Enrollment IDI20230830001429
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 2

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.

Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
15 services13 patients
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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Plastic Surgery (Surgery of the Hand)
281 LINCOLN ST
WORCESTER, MA 01605

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 Isabella Plumptre's NPI number?

The NPI number for Isabella Plumptre is 1902368590. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Isabella Plumptre located?

Isabella Plumptre practices at 281 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-5979.

What is Isabella Plumptre's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Isabella Plumptre enrolled in Medicare?

Yes. Isabella Plumptre 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 Isabella Plumptre accept?

Health plans from Anthem Blue Cross and Blue Shield list Isabella Plumptre 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 Isabella Plumptre affiliated with any hospitals?

According to CMS data, Isabella Plumptre is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Isabella Plumptre was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.