RONALD PLUSZCZYNSKI M.D.
NPI 1952303919
Obstetrics & Gynecology in Sturgeon Bay, WI

Q: What is Ronald Pluszczynski's NPI number?

The NPI number for Ronald Pluszczynski is 1952303919. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Q: What is Ronald Pluszczynski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment

323 S 18TH AVE, STURGEON BAY, WI 54235(920) 746-0510 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2023, Jan 4, 2022, Oct 6, 2021 and 8 more (11 updates tracked since 2019).

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About Ronald Pluszczynski M.d. NPPES

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

RONALD PLUSZCZYNSKI M.D. (NPI 1952303919) is an individual obstetrics & gynecology provider in Sturgeon Bay, Wisconsin, licensed in Montana (74443) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hancock, and is a graduate of Wayne State University School Of Medicine (1986).

NPPES Registry Identity

NPI1952303919

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameRONALD PLUSZCZYNSKICredential: M.D.

Location Address323 S 18TH AVESturgeon Bay, WI 54235-1401

Mailing Address7 Boone LnDearborn, MI 48120-1011 · (248) 231-0673

Phone(920) 746-0510

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1986

Enumeration DateJune 2, 2005

Last NPPES UpdateNovember 9, 202311 updates tracked since enumeration

NPPES CertifiedNovember 9, 2023

✔ NPI 1952303919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MT · 74443✔ Licensed in MI · RP407341✔ Licensed in PA · MD463673

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

323 S 18TH AVE, Sturgeon Bay, WI 54235

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Secondary Practice Location 1

Location 1500 Campus DrHancock, MI 49930-1452 · Phone (906) 483-1050 · Fax (906) 372-3230

Other Identifiers 2

Medicaid2696809MI

Other160009590MI · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, CareSource (Common Ground Healthcare), Mountain Health CO-OP and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronald Pluszczynski M.d. 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 ID6002806346

PECOS Enrollment IDI20190417001904, I20191118000486

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

Medicare enrollment records show Ronald Pluszczynski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Door County Memorial Hospital

Same address

Critical Access

323 S 18TH AVE
Sturgeon Bay, WI 54235

Reassigned Medicare billing, Wisconsin enrollment
131 clinicians in this Medicare group

NPI 1093743874 (920) 743-5566

Upper Great Lakes Family Health Center

23 mi

Federally Qualified Health Center (FQHC)

1110 10TH AVE
Menominee, MI 49858

Reassigned Medicare billing, Michigan enrollment
56 clinicians in this Medicare group

NPI 1801214218 (906) 290-5000

University Of Pittsburgh Physicians

449 mi

Urgent Care

464 ALLEGHENY BLVD, PENNWOOD CENTER
Franklin, PA 16323

Reassigned Medicare billing, Pennsylvania enrollment
7,114 clinicians in this Medicare group

NPI 1619381456 (814) 432-9801

Gabert Medical Services, Inc

848 mi

Multi-Specialty

107 DILWORTH ST
Glendive, MT 59330

Reassigned Medicare billing, Montana enrollment
53 clinicians in this Medicare group

NPI 1336158930 (406) 345-8901

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 54235 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

JESSICA J SKINNER RN, IBCLC

Registered Nurse (Lactation Consultant)