Stephen Plantholt, M.D.
NPI 1265426274 · Cardiovascular Disease Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Plantholt, M.D. is a Cardiovascular Disease Physician provider in Baltimore, MD (NPI 1265426274).
Provider details
- NPI number
- 1265426274
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D0023580 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,290 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,655 | $133 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 1,469 | $15 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 240 | $8 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 226 | $174 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 144 | $204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 613 | 234 |
| Atorvastatin Calcium | 481 | 168 |
| Empagliflozinbrand: Jardiance | 419 | 101 |
| Furosemide | 326 | 125 |
| Apixabanbrand: Eliquis | 310 | 89 |
| Sacubitril/Valsartanbrand: Entresto | 265 | 74 |
| Spironolactone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,042 across 88 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
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2018-04-27
Frequently asked questions
- What is Stephen Plantholt's NPI number?
- Stephen Plantholt's National Provider Identifier (NPI) is 1265426274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Plantholt's specialty?
- Stephen Plantholt is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Plantholt located?
- Stephen Plantholt's practice location on file with NPPES is 3407 Wilkens Ave, Baltimore, MD 21229-5072.
- What is Stephen Plantholt's phone number?
- The practice phone number listed in the NPPES registry for Stephen Plantholt is (410) 644-5111.
- Does Stephen Plantholt accept Medicare?
- Stephen Plantholt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Plantholt's NPI active?
- Yes — Stephen Plantholt's NPI (1265426274) is active in the NPPES registry as of the last update on 2018-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.