Mark Plumb, M.D.
NPI 1821061367 · Pulmonary Disease Physician · West Allis, WI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Plumb, M.D. is a Pulmonary Disease Physician provider in West Allis, WI (NPI 1821061367).
Provider details
- NPI number
- 1821061367
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 30916 (WI)
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
221 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 62 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $84 |
| Home Sleep Test (hst) With Type III Portable Monitor, Unattended; Minimum of 4 Channels: 2 Respiratory Movement/Airflow, 1 Ecg/Heart Rate and 1 Oxygen SaturationG0399 | 24 | $43 |
| Test to Determine Lung Volumes Using Sensors94726 | 21 | $52 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 21 | $53 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 209 | 77 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 146 | 33 |
| Fluticasone Furoatebrand: Arnuity Ellipta | 122 | 26 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 84 | 24 |
| Montelukast Sodium | 80 | 19 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 74 |
Practice location
Mailing address
Additional practice locations (1)
- 8905 W Lincoln AveSte 401West Allis, WI 53227-2468Phone: (414) 328-8270
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2025-07-06
- Certified
- 2025-07-06
Frequently asked questions
- What is Mark Plumb's NPI number?
- Mark Plumb's National Provider Identifier (NPI) is 1821061367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Plumb's specialty?
- Mark Plumb is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Plumb located?
- Mark Plumb's practice location on file with NPPES is 2424 S 90th St, West Allis, WI 53227-2455.
- What is Mark Plumb's phone number?
- The practice phone number listed in the NPPES registry for Mark Plumb is (414) 328-8150.
- Does Mark Plumb accept Medicare?
- Mark Plumb is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Plumb's NPI active?
- Yes — Mark Plumb's NPI (1821061367) is active in the NPPES registry as of the last update on 2025-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.