Kimberly Ploehn, M.D.
NPI 1528075199 · Family Medicine Physician · Crown Point, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Ploehn, M.D. is a Family Medicine Physician provider in Crown Point, IN (NPI 1528075199).
Provider details
- NPI number
- 1528075199
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 01094884A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
322 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 156 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $104 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 33 | $67 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 23 | $45 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 21 | $79 |
| Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 102 | 100 |
| Amoxicillin | 83 | 77 |
| Azithromycin | 60 | 59 |
| Cephalexin | 52 | 48 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 48 | 48 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 39 | 39 |
| Methylprednisolone | 37 | 37 |
Practice location
Mailing address
Additional practice locations (4)
- 10240 Calumet AveMunster, IN 46321-2880Phone: (219) 703-2420Fax: (219) 703-6765
- 9660 Wicker AveSaint John, IN 46373-9487Phone: (219) 365-1177Fax: (219) 703-6662
- 7651 Harvest DrSchererville, IN 46375-3476Phone: (219) 322-5723Fax: (219) 440-5227
- 1451 Morthland Dr Ste DValparaiso, IN 46385-6360Phone: (219) 286-3880Fax: (219) 286-3881
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Frequently asked questions
- What is Kimberly Ploehn's NPI number?
- Kimberly Ploehn's National Provider Identifier (NPI) is 1528075199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Ploehn's specialty?
- Kimberly Ploehn is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kimberly Ploehn located?
- Kimberly Ploehn's practice location on file with NPPES is 10215 Broadway Fl 1, Crown Point, IN 46307-8001.
- What is Kimberly Ploehn's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Ploehn is (219) 661-6098.
- Does Kimberly Ploehn accept Medicare?
- Kimberly Ploehn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Ploehn's NPI active?
- Yes — Kimberly Ploehn's NPI (1528075199) is active in the NPPES registry as of the last update on 2024-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.