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MICHAEL PLAUTZ MD
NPI 1932173408
Otolaryngology in Fishersville, VA

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
70 MEDICAL CENTER CIR, SUITE 104, FISHERSVILLE, VA 22939(540) 245-7010(540) 245-7011 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 3, 2024, Oct 31, 2019 (2 updates tracked since 2019).

About Michael Plautz Md NPPES

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

MICHAEL PLAUTZ MD (NPI 1932173408) is an individual otolaryngology provider in Fishersville, Virginia, licensed in Virginia (0101238265) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2000).

NPPES Registry Identity

NPI1932173408
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMICHAEL PLAUTZCredential: MD
Location Address70 MEDICAL CENTER CIR, SUITE 104Fishersville, VA 22939-2273
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 932-4629 · Fax (540) 932-5875
Phone(540) 245-7010
Fax(540) 245-7011
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2000
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1932173408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VA · 0101238265
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
70 MEDICAL CENTER CIR, Fishersville, VA 22939
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Other Identifiers 5

Other10000431VA · Optima
Other5642978VA · First Health
Other182229VA · Anthem
Medicaid010189977VA
Other325706VA · Southern Health

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 Plautz 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 ID8729012224
PECOS Enrollment IDI20050923000685
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 10

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
396 services269 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.
395 services267 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
238 services238 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
124 services115 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.
77 services65 patients
Simple control of nose bleed 30901
Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.
43 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,570 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
86%462 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%1,117 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
72%1,872 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%1,872 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%1,872 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%1,872 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MELISSA R ROBINSON D.O.
Psychiatry & Neurology (Psychiatry)
70 MEDICAL CENTER CIR, SUITE 201
FISHERSVILLE, VA 22939
Augusta County (540) 221-7030
CARIE DANIEL BUCKLEY III MD
Urology
70 MEDICAL CENTER CIR, SUITE 208
FISHERSVILLE, VA 22939
Augusta County (540) 332-5926
ROBERT W BURKE PA-C
Physician Assistant (Medical)
70 MEDICAL CENTER CIR, SUITE 305
FISHERSVILLE, VA 22939
Augusta County (540) 932-5687
SHENANDOAH VALLEY NEUROLOGICAL ASSOCIATES
Psychiatry & Neurology (Neurology)
70 MEDICAL CENTER CIR
FISHERSVILLE, VA 22939
Augusta County (540) 932-5878
BLUE RIDGE UROLOGICAL ASSOC., PC
Urology
70 MEDICAL CENTER CIR, SUITE 208
FISHERSVILLE, VA 22939
Augusta County (540) 345-3556
GARY CHARLES MURRAY M.D.
Internal Medicine (Cardiovascular Disease)
70 MEDICAL CENTER CIR, SUITE 211
FISHERSVILLE, VA 22939
Augusta County (540) 932-5915
JACK F OTTENI M.D.
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Augusta County (540) 332-5850
JULIE A PLUMBLEY MD
Specialist
70 MEDICAL CENTER CIR, SUITE 309
FISHERSVILLE, VA 22939
Augusta County (540) 332-5885

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 Plautz's NPI number?

The NPI number for Michael Plautz is 1932173408. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Michael Plautz located?

Michael Plautz practices at 70 Medical Center Cir Suite 104, Fishersville, VA 22939. The listed phone number is (540) 245-7010.

What is Michael Plautz's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Plautz enrolled in Medicare?

Yes. Michael Plautz 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.

Is Michael Plautz affiliated with any hospitals?

According to CMS data, Michael Plautz is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for Michael Plautz was last updated on April 3, 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.