Active NPI
Todd Plocher, PA-C
- Physician Assistant
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4212 Grand Ave
Duluth, MN 55807-2737 - Phone
- (218) 786-3500
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MN | Primary |
Addresses
Primary practice location
4212 Grand Ave
Duluth, MN 55807-2737
Mailing address
4212 Grand Ave
Duluth, MN 55807-2737
Phone (218) 786-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Oregon Health Sciences University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11970 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Medical Group LLC | Physician Assistant | Current | Accepting new patients |
| Tanana Chiefs Conference | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current | Accepting new patients |
Locations
2054 30th Ave
Fairbanks, AK 99701
Phone (907) 455-4555
122 1st Ave
Ste 106
Fairbanks, AK 99701
605 Chief Thomas Dr
Fairbanks, AK 99709
Phone (907) 455-4555
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Interoperability endpoints
- todd.plocher.1@15989.direct.athenahealth.com
- todd.plocher.1@24993.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
- Rehabilitation Clinic/Center
- Duluth, MN
- NPI 1639237746
-
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1437569282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072737",
"telephone_number": "218-786-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072737",
"telephone_number": "218-786-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOCHER",
"first_name": "TODD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.