Mark D. Plumb, M.D.
NPI 1821061367ActiveIndividual· Internal Medicine, Pulmonary Disease· West Allis, WI
Internal Medicine, Pulmonary Disease (M.D.) in West Allis, Wisconsin, trained at Washington University School of Medicine (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $485,213 for 1,436 claims, against $15,922 paid for services in 2024.
Overview
| NPI | 1821061367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 7, 2006 |
| Last updated in NPPES | Jul 6, 2025 |
| Certified by provider | Jul 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 30916 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (IL); Practitioner - Pulmonary Disease (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 309 across 19 procedure codes |
| Paid by Medicare | $15,922 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,436 · 2,201 30-day fills |
|---|---|
| Patients | 243 |
| Total drug cost | $485,213 |
| Generic share | 34% of claims |
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists) |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliation
- Aurora St Lukes Medical CenterMilwaukee, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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