Dr. Marc Plescia, MD
555 Herndon Pkwy, Ste 100, Herndon, VA 20170 • +1-409-555-5054
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Herndon Percentiles
NPI #1497749121 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Marc Plescia (MD, NPI 1497749121) at 555 Herndon Pkwy, Ste 100 in Herndon with 794 annual clinical services (328 beneficiaries), corresponding to a -0.17σ regional deviation and mid-cohort balanced caseload (42.86th Herndon percentile) with sub-specialty concentration in 21 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1497749121 highlights 315 annual claims for 99214 (42.86th Herndon percentile; $191–$262 self-pay corridor) plus 233 encounters under 99213 and 90 under G0439.
Cash-pay intake data for NPI 1497749121 (555 Herndon Pkwy, Ste 100, Herndon) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.94/5 biomarker openness.
NPI registry verification (#1497749121) confirms Dr. Marc Plescia's MD standing serving CBSA 20170 with a 4.92/5 patient scorecard.
Compared against Herndon, VA Family Practice peers
794 annual services across 328 beneficiaries
Standard deviations from VA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 315 | 42.86th | $191 – $262 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 233 | 37.86th | $146 – $200 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 90 | 38.86th | $219 – $301 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 68 | 39.86th | $42 – $57 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 45 | 45.86th | $263 – $360 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (21 HCPCS billing breadth) | 43 | 42.86th | $172 – $249 |
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Dr. Marc Plescia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Plescia National Provider Identifier | NPI #1497749121 (MD) | CMS NPPES Registry (20170) |
| Dr. Plescia Herndon CMS Volume Rank | 42.86th Pct (794 CMS svcs; Z -0.165σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Herndon, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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