Dr Raymond Plodkowski, - Medicare Endocrinology in San Diego, CA

Dr Raymond Plodkowski, is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in San Diego, California. He went to Medical College Of Pennsylvania and graduated in 1994 and has 30 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice Scripps Health and his current practice location is 12395 El Camino Real, Suite 317, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 794-1250.

Dr Raymond Plodkowski is licensed to practice in California (license number A64845) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104831247.

Contact Information

Dr Raymond Plodkowski,
12395 El Camino Real, Suite 317,
San Diego, CA 92130-3082
(858) 794-1250
Not Available

Map and Direction




Physician's Profile

Full NameDr Raymond Plodkowski
GenderMale
SpecialityEndocrinology
Experience30 Years
Location12395 El Camino Real, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Raymond Plodkowski attended and graduated from Medical College Of Pennsylvania in 1994
  NPI Data:
  • NPI Number: 1104831247
  • Provider Enumeration Date: 07/29/2006
  • Last Update Date: 09/20/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8123163987
  • Enrollment ID: I20121024000130

Medical Identifiers

Medical identifiers for Dr Raymond Plodkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104831247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 10287 (Nevada)Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism A64845 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scripps Health92340338531365

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Raymond Plodkowski allows following entities to bill medicare on his behalf.
Entity NameScripps Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Raymond Plodkowski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Raymond Plodkowski,
File # 54433,
Los Angeles, CA 90074-4433

Ph: (858) 784-5888
Dr Raymond Plodkowski,
12395 El Camino Real, Suite 317,
San Diego, CA 92130-3082

Ph: (858) 794-1250

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.