EVAN ANDREW PLUNKETT (MD) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1730610346
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
510 PHYSICAL MEDICINE AND REHABILITATION in OH
Provider Addresses for EVAN ANDREW PLUNKETT (MD)
395 W 12TH AVE FL 3
COLUMBUS, OH 432101267
Phone:
Type: Mailing
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
325 E EISENHOWER PKWY
ANN ARBOR, MI 481083364
Phone: (734) 936-7175
Type: Location
PO BOX 603949
CHARLOTTE, NC 282603949
Phone: (919) 350-2266
Fax: (919) 350-7687
Type: Mailing
3009 NEW BERN AVE
RALEIGH, NC 276101214
Phone: (919) 232-5020
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240410000135 | I | Physical Medicine And Rehabilitation | NC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 54 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 45 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 50 | 42 | $0 |
Insurance plans in this area (ZIP 43210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| - | NC | |
| - | PA | |
| - | NC | |
| Qualified Speech Language Pathologist | VA | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | NC |
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