Mark Pluym, M.D.
NPI 1942597489 · Pulmonary Disease Physician · St Johnsbury, VT
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Pluym, M.D. is a Pulmonary Disease Physician provider in St Johnsbury, VT (NPI 1942597489).
Provider details
- NPI number
- 1942597489
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 042.0018193 (VT)
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
14 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
1,288 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 | 331 | $91 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 206 | $61 |
| Test to Measure Rate of Airflow94375 | 200 | $13 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 120 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 118 | $11 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 77 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 345 | 96 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 140 | 30 |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 82 | 26 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 81 | 18 |
| Tiotropium Bromidebrand: Spiriva Respimat | 74 | 23 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 73 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,683 across 77 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)
- 1315 Hospital DrSt Johnsbury, VT 05819-9210Phone: (802) 748-8141Fax: (802) 748-4098
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Mark Pluym's NPI number?
- Mark Pluym's National Provider Identifier (NPI) is 1942597489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Pluym's specialty?
- Mark Pluym is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Pluym located?
- Mark Pluym's practice location on file with NPPES is 1290 Hospital Dr Lowr Level, St Johnsbury, VT 05819-9205.
- What is Mark Pluym's phone number?
- The practice phone number listed in the NPPES registry for Mark Pluym is (802) 745-6800.
- Does Mark Pluym accept Medicare?
- Mark Pluym is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Pluym's NPI active?
- Yes — Mark Pluym's NPI (1942597489) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.