Active NPI 1639177470 Individual Practitioner Male Practitioner

Dr. Peter N/a Pluscht , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Pluscht, MD is a certified Thoracic Surgery (Cardiothoracic Vascular Surgery) practicing in Mobile, AL. With approximately 35 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1991, Dr. Pluscht delivers high-quality medical care to the local community at 1855 SPRINGHILL AVE.

Dr. Pluscht is affiliated with Imc-Cardio-Thoracic And Vascular Surgical Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, coronary artery bypass using artery graft, 1 graft. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1855 Springhill Ave

Mobile, AL 366072301

Telephone 2514713544

Fax 2514767254

Associated Practice Facility / Clinic

🏢 Cardio-Thoracic & Vascular Surgical Associates, P.c. Facility NPI 1750389532

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mobile, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +7.1 yrs vs City Avg

City Avg: 27.9 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

18 Specialists

Practicing in Mobile, AL (81 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pluscht (35 Years) 35 Yrs

Mobile Specialty Average (27.9 Years) 27.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	101	101	$305.00	$194.07
99213 Established patient office or other outpatient visit, typically 15 minutes	86	72	$121.07	$82.12
33533 Coronary artery bypass using artery graft, 1 graft	61	61	$4300.00	$1439.60
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	42	42	$32.00	$13.81
33361 Replacement of aortic valve through the skin and femoral artery	24	24	$2400.00	$631.32
33405 Replacement of aortic valve on heart-lung machine	21	21	$5000.00	$1434.83
33430 Replacement of mitral valve on heart-lung machine	19	19	$6000.00	$2370.77
33517 Combined vein and artery heart artery bypass	18	18	$360.00	$155.65
33518 Coronary artery bypass using vein or artery graft, 2 grafts	17	17	$800.00	$356.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$223.12	$163.85
35301 Removal of blood clot and portion of artery of neck	14	12	$2550.00	$975.79
35820 Exploration of chest for postsurgical bleeding, blood clot, or infection	13	13	$3600.00	$1513.27
33530 Reoperation of heart artery bypass or valve procedure more than 1 month after original operation	12	12	$1078.13	$423.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	99	99	$301.36	$202.40
99213 Established patient office or other outpatient visit, typically 15 minutes	97	83	$108.33	$83.50
33533 Coronary artery bypass using artery graft, 1 graft	55	55	$4300.00	$1570.52
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	49	49	$32.00	$14.72
33361 Replacement of aortic valve through the skin and femoral artery	25	25	$2400.00	$664.83
33517 Combined vein and artery heart artery bypass	25	25	$360.00	$170.65
33430 Replacement of mitral valve on heart-lung machine	23	23	$6000.00	$2432.48
35301 Removal of blood clot and portion of artery of neck	23	22	$2550.00	$940.36
33405 Replacement of aortic valve on heart-lung machine	20	20	$5000.00	$1400.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$216.89	$161.11
33518 Coronary artery bypass using vein or artery graft, 2 grafts	16	16	$800.00	$375.81
33268 Exclusion of appendage of left upper chamber of heart performed during other procedure on chest	12	12	$250.00	$119.58
33530 Reoperation of heart artery bypass or valve procedure more than 1 month after original operation	12	12	$1150.00	$415.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$151.36	$103.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	100	100	$290.00	$209.55
99213 Established patient office or other outpatient visit, typically 15 minutes	89	79	$106.42	$85.12
33533 Coronary artery bypass using artery graft, 1 graft	54	54	$4300.00	$1662.38
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	48	48	$32.00	$15.90
33361 Replacement of aortic valve through the skin and femoral artery	39	39	$2400.00	$714.39
33518 Coronary artery bypass using vein or artery graft, 2 grafts	27	27	$800.00	$399.39
35301 Removal of blood clot and portion of artery of neck	21	20	$2550.00	$1098.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$150.00	$107.02
33405 Replacement of aortic valve on heart-lung machine	18	18	$5000.00	$1710.44
33430 Replacement of mitral valve on heart-lung machine	15	15	$6000.00	$2715.93
33519 Coronary artery bypass using vein or artery graft, 3 grafts	14	14	$1100.00	$528.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$212.50	$171.69
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	12	12	$285.00	$155.34
33268 Exclusion of appendage of left upper chamber of heart performed during other procedure on chest	12	12	$250.00	$127.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	106	$105.00	$87.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	75	75	$290.00	$211.09
33533 Coronary artery bypass using artery graft, 1 graft	54	54	$4300.00	$1750.72
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	37	37	$32.00	$15.69
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	32	30	$80.00	$50.58
33430 Replacement of mitral valve on heart-lung machine	28	28	$5839.29	$2691.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$230.00	$162.85
33518 Coronary artery bypass using vein or artery graft, 2 grafts	26	26	$706.92	$409.26
35301 Removal of blood clot and portion of artery of neck	21	19	$2550.00	$1094.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$200.00	$175.60
33405 Replacement of aortic valve on heart-lung machine	16	16	$5000.00	$1418.62
33517 Combined vein and artery heart artery bypass	15	15	$303.00	$186.06
93314 Interpretation and report of ultrasound of heart	13	13	$232.00	$89.48
33530 Reoperation of heart artery bypass or valve procedure more than 1 month after original operation	13	13	$1083.65	$488.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$150.00	$125.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$102.42
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	12	12	$550.00	$233.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$280.00	$195.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	101	$105.00	$71.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	57	$100.00	$69.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	83	83	$290.00	$200.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	53	$150.00	$99.47
33533 Coronary artery bypass using artery graft, 1 graft	61	61	$4300.00	$1688.75
93314 Interpretation and report of ultrasound of heart	48	47	$232.00	$90.20
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	43	43	$32.00	$16.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$280.00	$197.92
33430 Replacement of mitral valve on heart-lung machine	39	38	$6000.00	$2681.90
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	31	31	$80.00	$50.97
33518 Coronary artery bypass using vein or artery graft, 2 grafts	30	30	$580.00	$406.14
33405 Replacement of aortic valve on heart-lung machine	28	28	$5000.00	$1632.38
99441 Telephone medical discussion with physician, 5-10 minutes	27	24	$50.00	$42.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$200.00	$139.99
35301 Removal of blood clot and portion of artery of neck	21	17	$2550.00	$1114.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$150.00	$104.37
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	16	15	$20.00	$14.04
33517 Combined vein and artery heart artery bypass	15	15	$265.00	$186.15
33519 Coronary artery bypass using vein or artery graft, 3 grafts	14	14	$775.00	$537.51
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	13	13	$550.00	$224.49
33530 Reoperation of heart artery bypass or valve procedure more than 1 month after original operation	12	12	$1150.00	$519.97
33257 Destruction and reconstruction of right upper heart	12	12	$1525.00	$566.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$230.00	$157.42
33967 Insertion of assistive heart blood flow device into aorta, accessed through the skin	11	11	$800.00	$127.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	260	148	$81.48	$68.00
99213 Established patient office or other outpatient visit, typically 15 minutes	196	172	$73.93	$67.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	144	113	$120.83	$98.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	122	122	$222.25	$188.48
35301 Removal of blood clot and portion of artery of neck	51	50	$2874.47	$1042.94
33533 Coronary artery bypass using artery graft, 1 graft	46	46	$4670.17	$1588.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$107.16	$101.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$165.78	$136.46
33405 Replacement of aortic valve on heart-lung machine	25	25	$5408.32	$1817.18
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	25	25	$57.60	$49.49
33430 Replacement of mitral valve on heart-lung machine	23	23	$6343.48	$2507.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$232.39	$189.69
93314 Interpretation and report of ultrasound of heart	22	22	$115.55	$87.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$169.55	$143.43
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	21	21	$470.95	$203.36
33518 Coronary artery bypass using vein or artery graft, 2 grafts	19	19	$513.68	$384.12
33517 Combined vein and artery heart artery bypass	15	15	$252.87	$174.41
33519 Coronary artery bypass using vein or artery graft, 3 grafts	14	14	$742.86	$508.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	210	120	$71.00	$65.69
99213 Established patient office or other outpatient visit, typically 15 minutes	197	157	$70.00	$64.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	93	$110.00	$94.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	71	71	$203.00	$184.53
33533 Coronary artery bypass using artery graft, 1 graft	56	56	$4773.00	$1494.08
35301 Removal of blood clot and portion of artery of neck	32	31	$2944.00	$957.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$106.00	$97.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$208.33	$182.53
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	27	27	$52.00	$48.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$156.00	$131.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$160.00	$148.23
33405 Replacement of aortic valve on heart-lung machine	23	23	$5464.00	$1856.02
93314 Interpretation and report of ultrasound of heart	22	21	$110.00	$84.30
33518 Coronary artery bypass using vein or artery graft, 2 grafts	22	22	$490.00	$370.47
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	20	20	$467.00	$208.28
33517 Combined vein and artery heart artery bypass	15	15	$251.00	$168.46
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	14	14	$467.00	$170.28
33430 Replacement of mitral valve on heart-lung machine	14	14	$6395.00	$2508.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93042 Interpretation and report of electrical activity of heart using 1-3 leads	419	171	$13.75	$6.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	248	147	$71.16	$67.53
99213 Established patient office or other outpatient visit, typically 15 minutes	201	176	$70.00	$67.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	150	116	$110.00	$97.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	97	97	$203.00	$190.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	56	$106.00	$99.99
33533 Coronary artery bypass using artery graft, 1 graft	55	55	$4773.00	$1585.36
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	40	40	$467.00	$219.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	36	$156.00	$134.64
93314 Interpretation and report of ultrasound of heart	37	37	$110.00	$84.61
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist	32	32	$467.00	$189.71
35301 Removal of blood clot and portion of artery of neck	31	30	$2944.00	$987.47
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	30	29	$52.00	$49.73
33518 Coronary artery bypass using vein or artery graft, 2 grafts	29	29	$490.00	$385.49
33405 Replacement of aortic valve on heart-lung machine	29	29	$5464.00	$1698.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$213.08	$188.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$52.00	$40.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$160.00	$152.42
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$115.00	$87.15
33430 Replacement of mitral valve on heart-lung machine	20	20	$6155.20	$2436.73
33530 Reoperation of heart artery bypass or valve procedure more than 1 month after original operation	16	16	$1067.50	$435.75
33510 Heart artery bypass to repair one artery	13	13	$4773.00	$1179.23
33519 Coronary artery bypass using vein or artery graft, 3 grafts	12	12	$730.00	$509.91
71260 Ct scan of chest with contrast	12	12	$148.00	$59.90
34812 Incision of artery in one thigh for insertion of prosthesis, open procedure	11	11	$1075.00	$253.04

Medical Specialties & State Licenses

Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary Specialty

NUCC Taxonomy Code: 208G00000X

State License AL 00013845

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000023467 (AL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

510-51961 (AL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

510-51962 (AL)

Hospital & Practice Group Affiliations

Imc-Cardio-Thoracic And Vascular Surgical Associates Llc

1855 Spring Hill Ave, Mobile, AL 366072301

Phone: 2514713544

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Matthew Woods

Thoracic Surgery (Cardiothoracic Vascular Surgery)

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Lauren Mcminn , CRNP

Nurse Practitioner - Family

NPI 1003354713

Certified Registered Nurse Practitioner

Dr. John Boyer , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1023016888

Doctor of Medicine (M.D.)

Dr. Michael Do , MD

Surgery - Vascular Surgery

NPI 1023208899

Doctor of Medicine (M.D.)

Dr. John Stone , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1083612899

Doctor of Medicine (M.D.)

Dr. Cullen Mccarthy , MD

Surgery - Vascular Surgery

NPI 1104262112

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 25, 2016

Registered at 1855 SPRINGHILL AVE, MOBILE, AL 366072301 (Tel: 2514713544)

📍

Updated Business Mailing Address May 25, 2016

Registered at 1855 SPRINGHILL AVE, MOBILE, AL 366072301 (Tel: 2514713544)

👤

Provider Name / Credentials Updated May 25, 2016

Recorded as PETER PLUSCHT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #00013845 in AL)

🟢

Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639177470

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2005

Last Update: May 25, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1855 Springhill Ave

Mobile, AL 366072301

Phone: 2514713544

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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