Active NPI 1023595485 Individual Practitioner Male Practitioner

James C Plasky , APN

Nurse Practitioner • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Plasky, APN is a certified Nurse Practitioner practicing in Madison, WI. With approximately 8 years of clinical experience since completing medical education in 2018, James Plasky delivers high-quality medical care to the local community at 7102 MINERAL POINT RD.

James Plasky maintains professional affiliations with Swea Fort Sc, Stoughton Hospital Association, University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7102 Mineral Point Rd

Madison, WI 537171706

Telephone 6088287603

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Inc Facility NPI 1376504480

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Madison, WI

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -2.2 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

519 Specialists

Practicing in Madison, WI (4030 Statewide)

Telehealth Adoption Rate

32.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plasky (8 Years) 8 Yrs

Madison Specialty Average (10.2 Years) 10.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	168	166	$234.00	$72.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	114	$343.00	$102.53
36415 Insertion of needle into vein for collection of blood sample	32	32	$37.10	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	24	$129.00	$7.61
81001 Manual urinalysis test with examination using microscope, automated	19	19	$53.00	$3.11
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	17	17	$808.00	$139.78
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$136.00	$5.76
85379 Coagulation function measurement, d-dimer; quantitative	12	12	$117.00	$9.98
99284 Emergency department visit with moderate level of medical decision making	11	11	$822.00	$93.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	183	$218.30	$73.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	97	$314.60	$103.45
36415 Insertion of needle into vein for collection of blood sample	42	42	$35.00	$8.40
81001 Manual urinalysis test with examination using microscope, automated	41	41	$53.00	$3.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$346.70	$88.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	26	26	$122.00	$7.61
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	21	21	$136.00	$5.90
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$139.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$494.30	$134.70
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	13	13	$808.00	$139.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	56	$212.00	$71.37
36415 Insertion of needle into vein for collection of blood sample	83	57	$39.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$314.00	$104.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$955.00	$106.62
0064A Adm sarscov2 50mcg/0.25mlbst	24	22	$90.00	$37.54
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	17	17	$90.00	$37.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	79	$201.00	$74.36
36415 Insertion of needle into vein for collection of blood sample	144	86	$35.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	73	$295.00	$105.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$918.00	$107.81
G0008 Administration of influenza virus vaccine	62	61	$47.00	$16.22
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	58	58	$129.00	$66.43
0064A Adm sarscov2 50mcg/0.25mlbst	44	44	$90.00	$38.16
0004A Fee covid-19 vac 1 res	20	20	$90.00	$38.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	91	$177.50	$61.12
G0008 Administration of influenza virus vaccine	86	86	$46.78	$16.24
36415 Insertion of needle into vein for collection of blood sample	82	65	$30.96	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	68	$269.48	$88.34
90662 Influenza vaccine split virus, preservative free	73	73	$113.00	$60.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$891.00	$95.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$41.58	$19.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	454	320	$153.57	$60.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	118	$242.09	$89.03
36415 Insertion of needle into vein for collection of blood sample	93	83	$27.00	$2.94
81002 Urinalysis, manual test	44	43	$25.27	$3.41
G0008 Administration of influenza virus vaccine	24	24	$28.00	$15.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$26.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	54	$151.57	$60.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	26	$238.24	$88.69
36415 Insertion of needle into vein for collection of blood sample	22	22	$27.00	$2.94
G0008 Administration of influenza virus vaccine	21	21	$26.33	$19.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$25.00	$18.65

Medical Specialties & State Licenses

CMS Verified: 2023-12-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 9740-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1023595485 (WI)

Hospital & Practice Group Affiliations

Swea Fort Sc

611 Sherman Ave E, Fort Atkinson, WI 535381960

Phone: 9205685475

Stoughton Hospital Association

900 Ridge St, Stoughton, WI 535891864

Phone: 6088736611

University Of Wisconsin Medical Foundation Inc

7102 Mineral Point Rd, Madison, WI 537171706

Phone: 6088287603

Secondary Practice Locations

215 W Court St Ste 203

Janesville, WI 535483866

Phone: 6089311979

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

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Family Medicine

NPI 1023005964

Doctor of Medicine (M.D.)

Dr. Jenifer Siragusa , DO

Family Medicine

NPI 1053361246

Doctor of Osteopathic Medicine (D.O.)

Dr. Sharwin Khot , MD

Pediatrics

NPI 1053930230

Doctor of Medicine (M.D.)

Dr. Elizabeth Hathaway , MD

Family Medicine

NPI 1073600110

Doctor of Medicine (M.D.)

Dr. Linda Lee , MD

Family Medicine

NPI 1104933654

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location January 10, 2023

Registered at 7102 MINERAL POINT RD, MADISON, WI 537171706 (Tel: 6088287603)

📍

Updated Business Mailing Address January 10, 2023

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2020

Nurse Practitioner (License #9740-33 in WI)

📍

Updated Practice Location March 03, 2020

Registered at 10 N WATER ST, EVANSVILLE, WI 535361152 (Tel: 6088825170)

📍

Updated Business Mailing Address March 03, 2020

Registered at 10 N WATER ST, EVANSVILLE, WI 535361152 (Tel: 6088825170)

✅

NPI Profile Active July 27, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2018

Registered at 6830 VILLAGREEN VW, ROCKFORD, IL 611075639 (Tel: 8152821339)

📍

Updated Business Mailing Address July 27, 2018

Registered at 6830 VILLAGREEN VW, ROCKFORD, IL 611075639 (Tel: 8152821339)

👤

Provider Name / Credentials Updated July 27, 2018

Recorded as JAMES PLASKY, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2018

Nurse Practitioner (License #209017896 in IL)

🟢

Initial NPI Registration & Enumeration July 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023595485

Entity Type:

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

Enumeration Date: July 27, 2018

Last Update: December 19, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

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.