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MATTHEW PLOTKIN MD
NPI 1982604138
Internal Medicine in Philadelphia, PA

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST., PHILADELPHIA, PA 19104(215) 662-2638(215) 349-5703 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Plotkin Md NPPES

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

MATTHEW PLOTKIN MD (NPI 1982604138) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD477169) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1982604138
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW PLOTKINCredential: MD
Location Address3400 SPRUCE ST.Philadelphia, PA 19104-4228
Mailing Address3400 Spruce St.Philadelphia, PA 19104-4228 · (215) 662-2638 · Fax (215) 349-5703
Phone(215) 662-2638
Fax(215) 349-5703
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1982604138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD477169
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License MD477169 (PA)
3400 SPRUCE ST., Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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

Matthew Plotkin 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 ID9830081207
PECOS Enrollment IDI20220524001869
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 8

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.

Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
313 services128 patients
Other inpatient or outpatient dialysis procedure 90999
Dialysis is a treatment that filters and purifies the blood using a machine. This helps keep your body in balance when the kidneys can't perform these functions. Inpatient dialysis is performed in a hospital, while outpatient dialysis is done at a dialysis center or at home. Both methods help manage kidney disease.
260 services73 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.
246 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
198 services99 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.
83 services77 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

ZACHARY FRANKLIN MEISEL MD
Emergency Medicine
3400 SPRUCE ST., GROUND SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7248
JOHN D MCGREEVEY III MD
Hospitalist
3400 SPRUCE ST., 5 MALONEY
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3797
MRS. SHARON BETH KATZENBACH CRNP
Nurse Practitioner (Family)
3400 SPRUCE ST., GROUND SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3958
NIHAR HOTCHANDANI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3400 SPRUCE ST., 6 FOUNDERS
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3209
DR. ARIANNE STEPHANIE MORRISON M.D.
Internal Medicine (Infectious Disease)
3400 SPRUCE ST.
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6932
SCOTT M DAMRAUER MD
Surgery (Vascular Surgery)
3400 SPRUCE ST., 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0306
ERIN R CARTON CRNP
Nurse Practitioner (Adult Health)
3400 SPRUCE ST.
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
S. WILLIAM STAVROPOULOS MD
Radiology (Vascular & Interventional Radiology)
3400 SPRUCE ST., 1 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005

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 Matthew Plotkin's NPI number?

The NPI number for Matthew Plotkin is 1982604138. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Matthew Plotkin located?

Matthew Plotkin practices at 3400 Spruce St., Philadelphia, PA 19104. The listed phone number is (215) 662-2638.

What is Matthew Plotkin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Plotkin enrolled in Medicare?

Yes. Matthew Plotkin 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 Matthew Plotkin accept?

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

According to CMS data, Matthew Plotkin is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Matthew Plotkin was last updated on July 26, 2022. 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.