NPIMap

Individual provider Active NPI

David R Ploss, M.D.

  • Cardiovascular Disease Physician
  • Eureka, CA
National Provider Identifier
1477638492
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G066128 Issued in CA
Practice address
2332 23Rd St
Eureka, CA 95501-3231
Phone
(707) 444-8300
Fax
(707) 444-8349
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G066128 CA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X G066128 CA
Nuclear Cardiology Physician 207UN0901X G066128 CA

Addresses

Primary practice location

2332 23Rd St
Eureka, CA 95501-3231

Mailing address

PO Box 6980
Eureka, CA 95502-6980
Phone (707) 444-8300

Other identifiers 1

IdentifierTypeStateIssuer
GR0077000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000758 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 5890865273 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Tufts University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians
North Pacific Cardiology MedicalGroup PAC ID 8426113341, 21 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

3 Marcela Dr
Suite D
Willits, CA 95490-5769
Phone (707) 459-4220

3800 Janes Rd
Arcata, CA 95521-4742
Phone 70782272203358

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G066128CAMDClinical Cardiac Electrophysiology Physician
G56128CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Pacific Cardiology Medical CurrentSince Apr 13, 2021 Accepting new patients
Aretaeus Telemedicine Inc. CurrentSince Jan 20, 2018 Accepting new patients
Adventist Health California Medical Group, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1477638492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6980",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026980",
            "telephone_number": "707-444-8300",
            "fax_number": "707-444-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013231",
            "telephone_number": "707-444-8300",
            "fax_number": "707-444-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSS",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G066128",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G066128",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "G066128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.