BENJAMIN R. PLAHTINSKY PA-C
NPI 1962426551
Physician Assistant in Chattanooga, TN

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2205 MCCALLIE AVE, SUITE 102, CHATTANOOGA, TN 37404(423) 493-5220(423) 493-5228 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin R. Plahtinsky Pa-c NPPES

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

BENJAMIN R. PLAHTINSKY PA-C (NPI 1962426551) is an individual physician assistant in Chattanooga, Tennessee, licensed in Tennessee (1344) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1962426551
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN R. PLAHTINSKYCredential: PA-C
Location Address2205 MCCALLIE AVE, SUITE 102Chattanooga, TN 37404-3230
Mailing Address2205 Mccallie Ave, Suite 102Chattanooga, TN 37404-3230 · (423) 493-5220 · Fax (423) 493-5228
Fax(423) 493-5228
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 27, 2006
Last NPPES UpdateMay 3, 2016
NPI 1962426551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 1344
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License PA1344 (TN)
2205 MCCALLIE AVE, Chattanooga, TN 37404

Other Identifiers 1

Medicare UPINQ43427

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

Benjamin R. Plahtinsky Pa-c 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 ID1153363650
PECOS Enrollment IDI20061019000276
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 18

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 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.
434 services251 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
371 services181 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
219 services193 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
100 services23 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
79 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
76 services71 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
97%364 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%711 patients5/55-star benchmark: 100%
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.

Nurse Practitioner (Psychiatric/Mental Health)
2205 MCCALLIE AVE
CHATTANOOGA, TN 37404
Specialist
2205 MCCALLIE AVE, STE 102
CHATTANOOGA, TN 37404
Internal Medicine
2205 MCCALLIE AVE
CHATTANOOGA, TN 37404
Internal Medicine (Clinical Cardiac Electrophysiology)
2205 MCCALLIE AVE
CHATTANOOGA, TN 37404
Specialist
2205 MCCALLIE AVE, SUITE 102
CHATTANOOGA, TN 37404
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2205 MCCALLIE AVE
CHATTANOOGA, TN 37404
Internal Medicine (Interventional Cardiology)
2205 MCCALLIE AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Psychiatric/Mental Health)
2205 MCCALLIE AVE
CHATTANOOGA, TN 37404

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 Benjamin Plahtinsky's NPI number?

The NPI number for Benjamin Plahtinsky is 1962426551. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Benjamin Plahtinsky located?

Benjamin Plahtinsky practices at 2205 Mccallie Ave Suite 102, Chattanooga, TN 37404. The listed phone number is (423) 493-5220.

What is Benjamin Plahtinsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Plahtinsky enrolled in Medicare?

Yes. Benjamin Plahtinsky 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 Benjamin Plahtinsky accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Benjamin Plahtinsky 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 Benjamin Plahtinsky affiliated with any hospitals?

According to CMS data, Benjamin Plahtinsky is affiliated with Memorial Healthcare System, Inc and Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Plahtinsky was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.