What is Michael Plainse's specialty?

Michael Plainse (NPI 1508919432) is a Medicare-billing provider whose primary specialty is Cardiology in Carmel, CA.

Where does Michael Plainse practice?

Michael Plainse practices in Carmel, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1508919432.

How much does Medicare pay Michael Plainse?

Michael Plainse (NPI 1508919432) received approximately $602K in total Medicare Part B payments, serving 1,564 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1508919432

Michael PlainseM.D.

CardiologyCarmel, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,816

Unique beneficiaries

—

Total services

8,467

Distinct HCPCS

Medicare payment

$589K

Peer benchmark

Total Medicare services vs. 1,869 Cardiology providers in CA — top quintile (cohort median 2,371).

PRESCRIBING · PART D · 2024

Total Rx claims

3,410

Beneficiaries

—

Total drug cost

$467K

Distinct drugs

Brand share

26.1%

Top prescribed drugs

Rosuvastatin Calcium347 claims

Atorvastatin Calcium298 claims

Metoprolol Succinate290 claims

Apixaban169 claims

Lisinopril158 claims

QUALITY · MIPS · 2024

Final MIPS score

94.5

Quality

100.0

Cost

81.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.82%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$764

Payment records

By payment type

Food and Beverage$764

Top paying entities

Food and Beverage$764

REFERRAL NETWORK

Where Michael Plainse's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 84 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Ernst Hansch Diagnostic Radiology · Edina, MN	218	354
American Medical Response West Ambulance Service Provider · Salinas, CA	191	295
Cary Yeh Diagnostic Radiology · Monterey, CA	187	340
Anthony Filly Diagnostic Radiology · Carmel, CA	182	333
Andrew Schmidt Diagnostic Radiology · Monterey, CA	170	299
Robert Gardner Diagnostic Radiology · Monterey, CA	144	259
Joan Frisoli Diagnostic Radiology · Monterey, CA	144	245
Reb Julia Haas Close Emergency Medicine · Monterey, CA	74	135
Roderick Roxas Emergency Medicine · Chicago, IL	68	139
Jose Mendez Hospitalist · Monterey, CA	67	216
Harlan Grogin Clinical Cardiac Electrophysiology · Salinas, CA	63	105
Hoang-Tuan Pham Hospitalist · Monterey, CA	57	244

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history