DONALD PLUMMER, M.D.
Infectious Disease Physician · FOLEY, AL
Individual Active NPI 1528379476
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 664 | 2,883 | $351,616 | $267,729 | $210,275 |
| 2023 | 648 | 2,899 | $355,858 | $276,517 | $215,881 |
| 2022 | 686 | 3,171 | $386,983 | $309,554 | $242,364 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,136 | $72 | $56 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 645 | $80 | $64 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 504 | $156 | $121 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 246 | $107 | $84 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 93 | $48 | $38 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 69 | $99 | $79 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 62 | $112 | $89 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 39 | $76 | $59 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 24 | $111 | $89 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $151 | $120 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 18 | $37 | $28 |
| 99239 | Hospital discharge day management, more than 30 minutes | 12 | $104 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ✓ | MD.33732 | AL |
| Infectious Disease Physician | 207RI0200X | ME112851 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Infectious Disease Physician providers in Alabama
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- NPI 1063404978
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.