KONSTADINOS A. PLESTIS M.D.
NPI 1972556389
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Abington, PA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1200 OLD YORK RD, ABINGTON, PA 19001(215) 481-4200(215) 881-9587 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2020, Dec 5, 2019, Oct 1, 2015 (3 updates tracked since 2015).

About Konstadinos A. Plestis M.d. NPPES

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

KONSTADINOS A. PLESTIS M.D. (NPI 1972556389) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Abington, Pennsylvania, licensed in Pennsylvania (MD052739L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972556389
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameKONSTADINOS A. PLESTISCredential: M.D.
Location Address1200 OLD YORK RDAbington, PA 19001-3720
Mailing Address2500 Maryland Rd Ste 400Willow Grove, PA 19090-1225 · (215) 481-4143 · Fax (215) 481-6790
Fax(215) 881-9587
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 18, 2006
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1972556389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in PA · MD052739L
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1200 OLD YORK RD, Abington, PA 19001

Other Identifiers 1

Medicaid102909491001PA

Accepted 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

Konstadinos A. Plestis 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 ID7113946385
PECOS Enrollment IDI20140512001414
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

3

Medicare enrollment records show Konstadinos Plestis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 OLD YORK RD, 5 TOLL
Abington, PA 19001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 34 clinicians in this Medicare group
Diagnostic Radiology
4900 FRANKFORD AVE
Philadelphia, PA 19124
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Methodist Associates In Healthcare, Inc
  • 600 clinicians in this Medicare group
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services18 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
24 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Internal Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Obstetrics & Gynecology
1200 OLD YORK RD
ABINGTON, PA 19001
Internal Medicine
1200 OLD YORK RD, SUITE 2B
ARINGTON, PA 19001
Nurse Practitioner (Acute Care)
1200 OLD YORK RD
ABINGTON, PA 19001
Student in an Organized Health Care Education/Training Program
1200 OLD YORK RD
ABINGTON, PA 19001
Surgery (Vascular Surgery)
1200 OLD YORK RD
ABINGTON, PA 19001
Psychiatry & Neurology (Neurology)
1200 OLD YORK RD, 5 TOLL
ABINGTON, PA 19001
Emergency Medicine
1200 OLD YORK RD
ABINGTON, PA 19001

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 Konstadinos Plestis's NPI number?

The NPI number for Konstadinos Plestis is 1972556389. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Konstadinos Plestis located?

Konstadinos Plestis practices at 1200 Old York Rd, Abington, PA 19001. The listed phone number is (215) 481-4200.

What is Konstadinos Plestis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Konstadinos Plestis enrolled in Medicare?

Yes. Konstadinos Plestis 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.

Which organizations bill Medicare for Konstadinos Plestis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Konstadinos Plestis reassigns Medicare benefits to 3 organizations: Abington Memorial Hospital (Abington, PA), Methodist Associates In Health Care, Inc (Philadelphia, PA) and Jefferson University Physicians (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Konstadinos Plestis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Konstadinos Plestis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Konstadinos Plestis 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 Konstadinos Plestis affiliated with any hospitals?

According to CMS data, Konstadinos Plestis is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Konstadinos Plestis was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.