Ryan Plichta, M.D.
NPI 1194987115 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Durham, NC
Enrolled with Medicare as Practitioner - Thoracic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ryan Plichta, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider in Durham, NC (NPI 1194987115).
Provider details
- NPI number
- 1194987115
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125054167 (IL)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 2016-01592 (NC)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
351 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 68 | $206 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 56 | $161 |
| Therapy Procedure Using a Special Bandage, Vacuum Pump and Disposable Medical Equipment, Surface Area More Than 50.0 Sq Cm97608 | 43 | $23 |
| Coronary Artery Bypass Using Artery Graft, 1 Graft33533 | 37 | $1,488 |
| Harvest of Vein Using an Endoscope33508 | 35 | $14 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By Th |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Tartrate | 24 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$168 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2800 Blue Ridge Rd Ste 201Raleigh, NC 27607-6477Phone: (919) 784-7110
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2023-07-24
- Certified
- 2023-07-24
Frequently asked questions
- What is Ryan Plichta's NPI number?
- Ryan Plichta's National Provider Identifier (NPI) is 1194987115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Plichta's specialty?
- Ryan Plichta is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Ryan Plichta located?
- Ryan Plichta's practice location on file with NPPES is 2301 Erwin Rd, Durham, NC 27705-4699.
- What is Ryan Plichta's phone number?
- The practice phone number listed in the NPPES registry for Ryan Plichta is (919) 684-8111.
- Does Ryan Plichta accept Medicare?
- Ryan Plichta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ryan Plichta's NPI active?
- Yes — Ryan Plichta's NPI (1194987115) is active in the NPPES registry as of the last update on 2023-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.