DR. JOHN F. PLASCAK (MD) – Internal Medicine Physician, NPI 1013939354
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Internal Medicine Physician
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NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
Provider Addresses for DR. JOHN F. PLASCAK (MD)
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Type: Mailing
909 Sagamore Pkwy W
West Lafayette, IN 479061443
Phone: (765) 463-6262
Fax: (765) 463-9122
Type: Location
2708 FERRY ST
LAFAYETTE, IN 479043021
Phone: (765) 449-1555
Fax: (765) 449-1110
Type: Location
909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 479061443
Phone: (765) 463-6262
Fax: (765) 463-9122
Type: Location
Sierra Drive, Greenwood, Johnson County, Indiana, 46142:46227, United States
SUITE 400
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
915, Sagamore Parkway West, Wabash Shores, Crumb Corner, West Lafayette, Tippecanoe County, Indiana, 47906, United States
WEST LAFAYETTE, IN 479061443
Phone: (765) 463-6262
Fax: (765) 463-9122
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041102000743 | I | Emergency Medicine | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 399 | 339 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 102 | 101 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 87 | 87 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 84 | 71 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 65 | 64 | $0 |
Insurance plans in this area (ZIP 48278)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| - | IN |
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