Dr. Mark Pluym, MD
1290 Hospital DR Lowr Level, St Johnsbury, VT 05819 • +1-274-555-8100
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & St Johnsbury Percentiles
NPI #1942597489 • CBSA Regional • Pulmonary Disease
Anchored in St Johnsbury, VT 05819, Dr. Mark Pluym, MD (NPI 1942597489) logged 1,351 annual procedures (top-decile high-throughput specialist (99th percentile in St Johnsbury), 50th VT percentile, +0.33σ) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Pluym (averaging 3.2 services per beneficiary), 99214 (Established Pulmonary, Asthma & COPD Management) represents 41% of tracked volume (554 encounters), paired with 94060 (311x).
For out-of-network patients contacting +1-274-555-8100, Dr. Pluym's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.55/5 composite reality score over 14 submissions).
Credentialed as an MD specialist with 20 years post-graduation experience since completing medical school at an LCME/COCA institution (2006), Dr. Pluym coordinates 28 Active CMS HCPCS Codes workups from 1290 Hospital DR Lowr Level (+1-274-555-8100).
Top 10% Pulmonary Disease volume leader in St Johnsbury, VT
1,351 annual services across 416 beneficiaries
Standard deviations from VT Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 554 | 99th | $92 – $127 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 311 | 99.5th | $60 – $83 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 230 | 97th | $55 – $75 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 149 | 99.5th | $169 – $231 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 108 | 99.5th | $130 – $178 |
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Dr. Mark Pluym, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pluym National Provider Identifier | NPI #1942597489 (MD) | CMS NPPES Registry (05819) |
| Dr. Pluym St Johnsbury CMS Volume Rank | 99.00th Pct (1,351 CMS svcs; Z +0.329σ) | CMS Medicare Part B (VT Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (St Johnsbury, VT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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