Active NPI
Mitchell Martin Plummer, MD
- Vascular Surgery Physician
- Medford, OR
National Provider Identifier
1457555237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD156412
- Practice address
- 520 Medical Center Dr
Ste 300
Medford, OR 97504-4316 - Phone
- (541) 282-6559
- Fax
- (541) 282-6710
- NPI assigned
- Jun 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD156412 | OR | |
| Vascular Surgery Physician | 2086S0129X | MD156412 | OR | Primary |
Addresses
Primary practice location
520 Medical Center Dr
Ste 300
Medford, OR 97504-4316
Mailing address
520 Medical Center Dr
Ste 300
Medford, OR 97504-4316
Phone (541) 282-6559
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500647780 | Medicaid | OR | |
| 165610 | Other | OR | MEDICARE |
| 4898026 | Other | OR | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Kentucky College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
520 Medical Ctr Dr
Suite 300
Medford, OR 97504-4316
Phone (541) 930-8907
Hospital & facility affiliations
- Asante Rogue Regional Medical Center
- Asante Three Rivers Medical Center
- Fairchild Medical Center
- Curry General Hospital
- Asante Ashland Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Varicose vein removal | 41 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 35 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mitchellplummermd@osspc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Medford, OR
- NPI 1427139732
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Critical Access Hospital
- Yreka, CA
- NPI 1952701369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1457555237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MEDICAL CENTER DR",
"address_2": "STE 300",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044316",
"telephone_number": "541-282-6559",
"fax_number": "541-282-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MEDICAL CENTER DR",
"address_2": "STE 300",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044316",
"telephone_number": "541-282-6559",
"fax_number": "541-282-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "MITCHELL",
"middle_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD156412",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OR",
"license": "MD156412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500647780",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "165610",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4898026",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.