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DR. AGATA NATALIA PLUZYCZKA D.O.
NPI 1962763276
Family Medicine in Evanston, IL

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
800 AUSTIN ST, WEST TOWER, SUITE 505, EVANSTON, IL 60202(847) 733-1495 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2021, Feb 17, 2017, Jan 31, 2017 (3 updates tracked since 2017).

About Dr. Agata Natalia Pluzyczka D.o. NPPES

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

DR. AGATA NATALIA PLUZYCZKA D.O. (NPI 1962763276) is an individual family medicine provider in Evanston, Illinois, licensed in Illinois (036136936) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2012).

NPPES Registry Identity

NPI1962763276
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AGATA NATALIA PLUZYCZKACredential: D.O.
Location Address800 AUSTIN ST, WEST TOWER, SUITE 505Evanston, IL 60202-3439
Mailing Address1000 Remington Blvd, Ste 100Bolingbrook, IL 60440-4707 · (630) 914-2468 · Fax (630) 914-2469
Phone(847) 733-1495
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateJune 4, 2012
Last NPPES UpdateDecember 9, 20213 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1962763276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036136936
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.
800 AUSTIN ST, Evanston, IL 60202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Agata Natalia Pluzyczka D.o. 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 ID9638453319
PECOS Enrollment IDI20170223001863
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.

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.
192 services103 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.
53 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services18 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.
21 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60202 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%45 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%58 patients3/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
4%46 patients1/55-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.

AJIT KUMAR KESANI M.D.
Internal Medicine (Nephrology)
800 AUSTIN ST, ST. FRANCIS PROFESSIONAL BUILDING, WEST TOWER SUITE 503
EVANSTON, IL 60202
Cook County (847) 864-5550
ENVISION MOBILE IMAGING, LLC
Clinic/Center (Radiology, Mobile)
800 AUSTIN ST
EVANSTON, IL 60202
Cook County (312) 515-0289
ALBERTO E FOSCHI MD
Internal Medicine (Cardiovascular Disease)
800 AUSTIN ST, SUITE 454 EAST TOWER
EVANSTON, IL 60202
Cook County (847) 864-4370
CAROLINE CARBAJAL
Counselor (Mental Health)
800 AUSTIN ST
EVANSTON, IL 60202
Cook County (874) 316-1715
DR. CHARLES R GRUNER M.D.
Surgery
800 AUSTIN ST, EAST TOWER, SUITE 563
EVANSTON, IL 60202
Cook County (847) 869-0522
DR. HENRY ISAAC MEISELS M.D.
Ophthalmology
800 AUSTIN ST, SUITE 401W
EVANSTON, IL 60202
Cook County (847) 425-9400
YOUSEF DARWISH MD.PC
Specialist
800 AUSTIN ST, SUITE 163
EVANSTON, IL 60202
Cook County (847) 316-3880
VISION SURGEONS AND CONSULTANTS, LTD
Surgery
800 AUSTIN ST, EAST TOWER STE 151
EVANSTON, IL 60202
Cook County (847) 328-2300

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 Agata Pluzyczka's NPI number?

The NPI number for Agata Pluzyczka is 1962763276. It was assigned to this individual provider in the NPPES registry on June 4, 2012.

Where is Agata Pluzyczka located?

Agata Pluzyczka practices at 800 Austin St West Tower, Suite 505, Evanston, IL 60202. The listed phone number is (847) 733-1495.

What is Agata Pluzyczka's specialty?

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

Is Agata Pluzyczka enrolled in Medicare?

Yes. Agata Pluzyczka 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 Agata Pluzyczka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Agata Pluzyczka 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 Agata Pluzyczka affiliated with any hospitals?

According to CMS data, Agata Pluzyczka is affiliated with Advocate Sherman Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Agata Pluzyczka was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.