MICHELLE LYNN PLASTER (M.D.) – Family Medicine Physician, NPI 1073762720

MICHELLE LYNN PLASTER (M.D.) is a healthcare provider. based in Monroe, Georgia. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 61639 (GA). The NPI Number for MICHELLE LYNN PLASTER (M.D.) is 1073762720

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE LYNN PLASTER (M.D.)
NPI
1073762720
Phone
(770) 464-0280
Address
1016 E SPRING ST
Enumeration Date
17 September 2008
Last Update Date
4 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704640280
Graduation Year
2005 (21 years ago)
PAC ID
6406919554
Group Practice PAC ID
7214090364
Professional Enrollment ID
I20090115000282
Address ID
GA306552469MO1016XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for MICHELLE LYNN PLASTER (M.D.)

  • 1016, East Spring Street, Monroe, Walton County, Georgia, 30655, United States

    MONROE, GA 306552469

    Phone: (770) 464-0280

    Fax: (770) 464-0233

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 176 Open Payments records for all available years, with a total value of $2,769.

Total Amount is formed as General ($2,769) + Research ($0) + Ownership ($0) = $2,769.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($429).

Total Amount

$2,769

General + Research + Ownership

Payments

176

Total payment records

General Amount

$2,769

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090115000282IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month874165$0
J1100Injection, dexamethasone sodium phosphate, 1 mg77562$0
99214Established patient office or other outpatient visit, 30-39 minutes711310$0
97140Therapy procedure using manual technique, each 15 minutes57329$0
99213Established patient office or other outpatient visit, 20-29 minutes400250$0
View full utilization report →

Insurance plans in this area (ZIP 30655)

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Provider's Procedures

MICHELLE LYNN PLASTER (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA83036Hemoglobin A1C level5750
INTERNAL MEDICINEGA90670Pneumococcal vaccine for injection into muscle6060
INTERNAL MEDICINEGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes35228

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214090364View full group profile
NameSpecialtyState
Emergency MedicineGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeOK
Internal MedicineGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to MICHELLE LYNN PLASTER (M.D.)?
NPI 1073762720 is assigned to MICHELLE LYNN PLASTER (M.D.) under the national enumeration system.
Is MICHELLE LYNN PLASTER (M.D.) active in the national directory?
MICHELLE LYNN PLASTER (M.D.)'s public NPI profile is in an active state.
What kind of provider is MICHELLE LYNN PLASTER (M.D.)?
The page reflects Family Medicine Physician for MICHELLE LYNN PLASTER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MICHELLE LYNN PLASTER (M.D.)?
The snapshot lists Monroe, Georgia for MICHELLE LYNN PLASTER (M.D.); download NPPES for the complete set.
How can I contact MICHELLE LYNN PLASTER (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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