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Active NPI 1235110149 Individual Practitioner Male Practitioner

Dr. Phillip Anthony Plothow , OD

Optometrist • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Plothow, OD is a certified Optometrist practicing in Provo, UT. With approximately 36 years of clinical experience since graduating from Southern California College Of Optometry in 1990, Dr. Plothow delivers high-quality medical care to the local community at 3651 N 100 E.

Dr. Plothow accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3651 N 100 E
Ste 250

Provo, UT 846044597

Telephone 8013733337
Fax 8013733339
Associated Practice Facility / Clinic
🏢 Richard A Call Ii Md Pc Facility NPI 1477732741

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Provo, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +15.6 yrs vs City Avg
City Avg: 20.4 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Provo, UT (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plothow (36 Years) 36 Yrs
Provo Specialty Average (20.4 Years) 20.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
69 68 $100.00 $98.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $135.00 $133.60
92250 Photography of the retina
12 12 $99.00 $34.40

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 1139719934

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

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

3 Associated Practitioners
John Perotti , LAPC

Counselor - Mental Health

NPI 1285990838
Robb Clawson , LMFT

Marriage & Family Therapist

NPI 1760804207

Licensed Marriage and Family Therapist

NPI 1831343185

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2009

Registered at 3651 N 100 E, STE 250, PROVO, UT 846044597 (Tel: 8013733337)

📍
Updated Business Mailing Address November 20, 2009

Registered at 3651 N 100 E, STE 250, PROVO, UT 846044597 (Tel: 8013733337)

👤
Provider Name / Credentials Updated November 20, 2009

Recorded as PHILLIP PLOTHOW, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2009

Optometrist (License #1139719934 in UT)

🟢
Initial NPI Registration & Enumeration November 08, 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: 1235110149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: November 20, 2009
Sole Proprietor: No

Mailing Address

3651 N 100 E, Ste 250

Provo, UT 846044597

Phone: 8013733337

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.