Luis Pluguez, PA
NPI 1578114997 · Physician Assistant · Monroe, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Pluguez, PA is a Physician Assistant provider in Monroe, GA (NPI 1578114997).
Provider details
- NPI number
- 1578114997
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10520 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
100 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 | 44 | $100 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $133 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $72 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 15 | $87 |
Typical Medicare-allowed amounts for these services range $72–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 31 | 29 |
| Cephalexin | 20 | 19 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 19 | 19 |
| Azithromycin | 19 | 19 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 17 |
| Ciprofloxacin Hcl | 17 | 17 |
| Prednisone | 17 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$88 across 5 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 (2)
- 1061 Dowdy Rd Ste 100Athens, GA 30606-5700Phone: (706) 621-7555Fax: (706) 621-7557
- 1364 Clifton Rd NeAtlanta, GA 30322-1059Phone: (404) 727-7825
Registry dates
- Enumerated
- 2019-09-26
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Frequently asked questions
- What is Luis Pluguez's NPI number?
- Luis Pluguez's National Provider Identifier (NPI) is 1578114997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Pluguez's specialty?
- Luis Pluguez is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Luis Pluguez located?
- Luis Pluguez's practice location on file with NPPES is 2151 W Spring St Ste B140, Monroe, GA 30655-3211.
- What is Luis Pluguez's phone number?
- The practice phone number listed in the NPPES registry for Luis Pluguez is (706) 613-5880.
- Does Luis Pluguez accept Medicare?
- Luis Pluguez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Pluguez's NPI active?
- Yes — Luis Pluguez's NPI (1578114997) is active in the NPPES registry as of the last update on 2025-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.