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Dr. Thomas Pliura

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NPI Number Detailed Information

Provider Information:

Name: Dr. Thomas Pliura
Gender: M
Provider License Number If Given: 036-069013

NPI Information:

NPI: 1124054010
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/23/2006

Last Update Date: 4/22/2020

Reputation Report:

Provider Business Mailing Address:

Address: RR 2 BOX 130
Le Roy, IL 61752
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: VIRGINIA & FRANKLIN STREETS
Normal, IL 61761
Phone Number: 3098274321
Fax Number:

Provider Taxonomy:

Primary: 207PE0004X
Secondary (if any):
State: IL

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About Dr. Thomas Pliura

Dr. Thomas Pliura (DR. THOMAS PLIURA ) is An Emergency Medicine Physician in Normal, IL. The NPI Number for Dr. Thomas Pliura is 1124054010.
The current location address for Dr. Thomas Pliura is VIRGINIA & FRANKLIN STREETS Normal, IL 61761 and the contact number is and fax number is . The mailing address for Dr. Thomas Pliura is RR 2 BOX 130 Le Roy, IL 61752- 3098274321 (mailing address contact number - ).
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Thomas Pliura ?


Answer: The NPI Number for Dr. Thomas Pliura is 1124054010

Where is Dr. Thomas Pliura located?


Answer: Dr. Thomas Pliura is located at VIRGINIA & FRANKLIN STREETS Normal, IL 61761.

What is the specialty for Dr. Thomas Pliura ?


Answer: The Specialty of Dr. Thomas Pliura is An Emergency Medicine Physician.

Are there any online reviews for Dr. Thomas Pliura ?


Answer: Yes! Check It Now.

Are there any other health care providers in Normal, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Thomas Pliura

Number of HCPCS 107
Number of Medicare Beneficiaries 3140
Number of Services 11002
Total Submitted Charge Amount 1407660.09
Total Medicare Allowed Amount 445494.43
Total Medicare Payment Amount 429370.26
Total Medicare Standardized Payment Amount 434149.88
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 27
Number of Drug Services 2249
Total Drug Submitted Charge Amount 1743
Total Drug Medicare Allowed Amount 340.47
Total Drug Medicare Payment Amount 282.76
Total Drug Medicare Standardized Payment Amount 277.6
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 103
Number of Medicare Beneficiaries With Medical 3139
Number of Medical Services 8753
Total Medical Submitted Charge Amount 1405917.09
Total Medical Medicare Allowed Amount 445153.96
Total Medical Medicare Payment Amount 429087.5
Total Medical Medicare Standardized Payment Amount 433872.28
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65 380
Number of Beneficiaries Age 65 to 74 1776
Number of Beneficiaries Age 75 to 84 794
Number of Beneficiaries Age Greater 84 190
Number of Female Beneficiaries 1759
Number of Male Beneficiaries 1381
Number of Non-Hispanic White Beneficiaries 2943
Number of Black or African American Beneficiaries 81
Number of Asian Pacific Islander Beneficiaries 20
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 75
Number of Beneficiaries With Medicare & Medicaid Entitlement 515
Number of Beneficiaries With Medicare Only Entitlement 2625
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.05
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.25
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 0.9289

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 28
Number of Standardized 30-Day Fills 44.4
Aggregate Cost Paid for All Claims 479.22
Number of Day's Supply for All Claims 1215
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 28
Aggregate Cost Paid for Generic Drugs 479.22
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 65.888888889
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.7767777778

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