Phillip Plotz, M.D.
NPI 1992753842 · Family Medicine Physician · Nipomo, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Plotz, M.D. is a Family Medicine Physician provider in Nipomo, CA (NPI 1992753842).
Provider details
- NPI number
- 1992753842
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 202213900 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
125 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 | 85 | $85 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 40 | $9 |
Typical Medicare-allowed amounts for these services range $9–$85 (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 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 54 | 26 |
| Lisinopril | 45 | 21 |
| Omeprazole | 43 | 15 |
| Levothyroxine Sodium | 29 | — |
| Amlodipine Besylate | 27 | 14 |
| Pantoprazole Sodium | 25 | — |
| Metformin Hcl |
Practice location
Mailing address
Additional practice locations (1)
- 534 Maple Valley DrFarmington, MO 63640-1981Phone: (573) 760-8253
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Frequently asked questions
- What is Phillip Plotz's NPI number?
- Phillip Plotz's National Provider Identifier (NPI) is 1992753842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Plotz's specialty?
- Phillip Plotz is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Phillip Plotz located?
- Phillip Plotz's practice location on file with NPPES is 699 W Tefft St, Nipomo, CA 93444-9289.
- What is Phillip Plotz's phone number?
- The practice phone number listed in the NPPES registry for Phillip Plotz is (805) 930-9995.
- Does Phillip Plotz accept Medicare?
- Phillip Plotz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Plotz's NPI active?
- Yes — Phillip Plotz's NPI (1992753842) is active in the NPPES registry as of the last update on 2025-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.