Kevin D. Plancher, MD
NPI 1093765950ActiveIndividual· Orthopaedic Surgery· New York, NY
Opted out of Medicare from January 2013 to January 2027. Orthopaedic Surgery (MD) in New York, New York, licensed in NY and CT, with an NPI issued in May 2006. Part D covered 60 prescriptions written in 2024, 98% of them generic. Vertex Pharmaceuticals Incorporated was the largest of 8 companies reporting payments in 2025, $54,301 in all, mostly speaking and faculty fees.
Overview
| NPI | 1093765950 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Jun 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 181664 | NY |
| Orthopaedic Surgery | 207X00000X | 030654 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2013 – Jan 1, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 60 · 81 30-day fills |
|---|---|
| Patients | 24 |
| Total drug cost | $310.44 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
- 2025$54,301 · 57 payments from 8 companies
- 2024$81,928 · 22 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $47,596 | 46 |
| Pacira Pharmaceuticals Incorporated | $3,457 | 2 |
| Zimmer Biomet Holdings, Inc. | $2,437 | 3 |
| Uoc USA Inc | $187.76 | 1 |
| Gotham Surgical Solutions & Devices, Inc. | $181.14 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$43,305 · 13 payments
- Consulting Fee$5,690 · 3 payments
- Travel and Lodging$3,622 · 25 payments
- Food and Beverage$1,646 · 15 payments
- Entertainment$37.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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