Active NPI 1609893478 Individual Practitioner Male Practitioner

Dr. Peter J Ploch , MD

Surgery • Lynchburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Ploch, MD is a certified Surgery practicing in Lynchburg, VA. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Ploch delivers high-quality medical care to the local community at 1911 THOMSON DR.

Dr. Ploch is affiliated with Centra Medical Group Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1911 Thomson Dr

Lynchburg, VA 245011008

Telephone 4349473901

Fax 4349473907

Associated Practice Facility / Clinic

🏢 Seven Hills Surgical Associates, P.c. Facility NPI 1407867880

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lynchburg, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -2.4 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

17 Specialists

Practicing in Lynchburg, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ploch (26 Years) 26 Yrs

Lynchburg Specialty Average (28.4 Years) 28.4 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	129	$109.00	$56.10
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$176.00	$90.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$215.00	$110.44
19301 Partial removal of breast	33	30	$1342.00	$637.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$323.00	$165.81
38900 Lymph node imaging during surgery	28	28	$272.00	$132.62
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	27	27	$906.00	$248.88
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$140.00	$71.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$427.00	$218.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$250.00	$123.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$77.00	$48.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$355.50	$178.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	116	$107.00	$55.79
99213 Established patient office or other outpatient visit, typically 15 minutes	71	65	$173.00	$89.01
38900 Lymph node imaging during surgery	40	40	$267.00	$134.21
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	39	39	$933.54	$238.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$211.00	$108.30
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$137.00	$70.90
19301 Partial removal of breast	31	28	$1316.00	$619.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$419.00	$216.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$317.00	$162.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$245.00	$125.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$75.00	$48.63
19303 Total removal of breast	13	13	$2204.85	$1046.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	77	$107.00	$56.77
99213 Established patient office or other outpatient visit, typically 15 minutes	67	64	$173.00	$89.91
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	43	43	$888.00	$228.65
38900 Lymph node imaging during surgery	43	43	$267.00	$141.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$419.00	$222.01
19301 Partial removal of breast	28	28	$1316.00	$682.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$245.00	$124.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$211.00	$112.35
19303 Total removal of breast	24	24	$1911.00	$1099.70
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$137.00	$73.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$317.00	$167.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$343.00	$181.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	93	$173.00	$92.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	34	$106.11	$57.22
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	42	41	$870.00	$248.00
38900 Lymph node imaging during surgery	39	39	$270.00	$144.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$415.94	$225.74
19301 Partial removal of breast	34	34	$1300.00	$689.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$242.14	$131.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$211.00	$114.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$313.95	$170.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$300.00	$201.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$205.00	$136.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$343.00	$184.47
49505 Repair of groin hernia (5 years or older)	15	15	$1109.33	$548.09
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$137.00	$74.35
19303 Total removal of breast	11	11	$2020.00	$1076.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	106	$110.00	$76.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	36	$165.00	$110.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$250.00	$166.54
38900 Lymph node imaging during surgery	33	33	$270.00	$143.62
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	32	32	$870.00	$226.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	23	$65.00	$46.23
19301 Partial removal of breast	30	29	$1300.00	$680.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$300.00	$206.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	21	$55.00	$40.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$205.00	$140.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$160.00	$109.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$315.00	$210.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$105.00	$73.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$220.00	$148.41
19303 Total removal of breast	13	13	$2020.00	$990.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	126	$110.00	$74.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$251.08	$164.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	43	$65.00	$45.20
38900 Lymph node imaging during surgery	41	41	$270.00	$145.01
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	40	40	$870.00	$251.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	28	$55.00	$39.61
19301 Partial removal of breast	38	38	$1300.00	$650.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$165.00	$109.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$164.22	$108.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$227.25	$146.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	20	$105.00	$73.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$315.00	$207.39
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$110.00	$76.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$212.14	$137.71
19303 Total removal of breast	12	12	$2020.00	$1052.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	106	$110.00	$72.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	88	29	$55.00	$38.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	58	$165.00	$106.34
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	36	36	$942.50	$256.52
38900 Lymph node imaging during surgery	35	35	$293.14	$150.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$65.00	$43.47
19301 Partial removal of breast	31	30	$1300.00	$633.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$251.96	$157.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$160.00	$106.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$220.00	$142.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$300.00	$201.70
19303 Total removal of breast	19	19	$2232.63	$962.92
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$110.00	$70.36
19125 Removal of breast growth, open procedure	15	15	$1042.67	$475.18
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$150.00	$100.74
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	11	11	$30.00	$18.25
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$110.00	$50.93
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1440.00	$720.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$105.00	$72.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	118	$108.46	$70.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	119	59	$55.00	$38.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	59	$65.00	$42.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	51	$163.46	$103.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$160.94	$102.75
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$110.00	$73.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$251.04	$157.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$219.00	$140.88
38900 Lymph node imaging during surgery	20	20	$297.00	$137.80
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$957.00	$216.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$205.00	$135.34
19301 Partial removal of breast	18	18	$1300.00	$648.28
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$150.00	$100.15
49505 Repair of groin hernia (5 years or older)	15	15	$1109.33	$537.22
19125 Removal of breast growth, open procedure	13	13	$920.00	$420.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$106.54	$66.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$300.00	$200.37

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101242677

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License VA 0101242677

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Centra Medical Group Llc

1933 Thomson Dr, Lynchburg, VA 245011008

Phone: 4349473928

Centra Medical Group Llc

1901 Tate Springs Rd, Lynchburg, VA 245011109

Phone: 4349473033

Centra Medical Group Llc

1911 Thomson Dr, Lynchburg, VA 245011008

Phone: 4342003901

Centra Medical Group Llc

3300 Rivermont Ave, Lynchburg, VA 245032030

Phone: 4342005999

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Charles Alty , MD

Surgery

NPI 1023090495

Doctor of Medicine (M.D.)

Dr. Lynn Mcroy , MD

Specialist

NPI 1033103288

Doctor of Medicine (M.D.)

Dr. Robert Bass , MD

Surgery

NPI 1134113210

Doctor of Medicine (M.D.)

Dr. Lawrence Poletti , MD

Surgery - Vascular Surgery

NPI 1598759771

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 June 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2016

Registered at 1911 THOMSON DR, LYNCHBURG, VA 245011008 (Tel: 4349473901)

📍

Updated Business Mailing Address June 16, 2016

Registered at 1911 THOMSON DR, LYNCHBURG, VA 245011008 (Tel: 4349473901)

👤

Provider Name / Credentials Updated June 16, 2016

Recorded as PETER PLOCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Specialist (License #0101242677 in VA)

🟢

Initial NPI Registration & Enumeration July 16, 2006

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: 1609893478

Entity Type:

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

Enumeration Date: July 16, 2006

Last Update: June 16, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1911 Thomson Dr

Lynchburg, VA 245011008

Phone: 4349473901

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.