Bianca N. Plaza Jimenez, MD
NPI 1952971806ActiveIndividual· Hospitalist· Phillipsburg, NJ
Hospitalist (MD) with Lehigh Valley Physician Group, practicing in Phillipsburg, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $28,038 for 522 claims, against $8,388 paid for services in 2024. Pfizer Inc. reported $49.02 in payments in 2025, mostly food and beverage. Lists Lehigh Valley Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1952971806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 1, 2021 |
| Last updated in NPPES | Oct 8, 2024 |
| Certified by provider | Oct 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | MD486815 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Enrolled Practitioner - Hospitalist (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 103 across 5 procedure codes |
| Paid by Medicare | $8,388 |
Part D prescriptions in 2024
| Prescriptions (claims) | 522 · 979 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $28,038 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Hospitalist |
Medical group
- Lehigh Valley Physician GroupAllentown, PA · 2,542 clinicians
Hospital affiliations
- Lehigh Valley HospitalAllentown, PA
- Lehigh Valley Hospital - MacungieMacungie, PA
Other facilities
- Lehigh Valley Home CareHome health agency · Allentown, PA
- Lehigh Valley Home Care HazletonHome health agency · Hazleton, PA
Industry payments (Open Payments)
- 2025$49.02 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $49.02 | 2 |
What the 2025 payments were for
- Food and Beverage$49.02 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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