Todd Plocher , PA-C
Physician Assistant • Duluth, MN
4212 Grand Ave
Duluth, MN 558072737
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 2, 2014; this date does not establish years in practice.
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Published CMS data list 60 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 48 service units.
- 99213 — Established patient outpatient office visit: 12 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 908 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 111 prescription fills, including refills.
- Amlodipine Besylate — 89 prescription fills, including refills.
- Lisinopril — 65 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 28 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: 95. Middle half: 42 to 182.
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 132 in 2020 to 60 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4212 Grand Ave
Duluth, MN 558072737
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Polinsky Medical Rehabilitation Center; Tanana Chiefs Conference. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Oregon Health Sciences University School Of Medicine
2015
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
45 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $4,395 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $1,784 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,217 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$51,704 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $21.12 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Todd Plocher has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Todd Plocher as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Duluth and Minnesota
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: 95. Middle half: 42 to 182.
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: $6,193. Middle half: $3,137 to $14,203.
A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $13,293. Middle half: $6,209 to $23,808.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: $4,522. Middle half: $2,321 to $10,807.
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $9,818. Middle half: $4,558 to $17,894.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Duluth, MN (2024, 114 clinicians with data). Median for this group: 154. Middle half: 52 to 599.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: 226. Middle half: 71 to 825.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Duluth, MN (2024, 114 clinicians with data). Median for this group: $1,850. Middle half: $346 to $53,975.
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: $3,260. Middle half: $590 to $83,279.
179 active clinicians are listed under Physician Assistant with a practice address in Duluth, MN (4,007 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Duluth
16.8% of these 179 clinicians have the CMS telehealth indicator.
81% of these 179 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 55% from 132 in 2020 to 60 in 2024.
- 2020: 132
- 2021: 177
- 2022: 125
- 2023: 112
- 2024: 60
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Medicare-allowed amount
Medicare-allowed amount decreased 45% from $7,930 in 2020 to $4,395 in 2024.
- 2020: $7,930
- 2021: $13,686
- 2022: $8,648
- 2023: $8,227
- 2024: $4,395
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Paid by Medicare
Paid by Medicare decreased 63% from $4,765 in 2020 to $1,784 in 2024.
- 2020: $4,765
- 2021: $8,842
- 2022: $5,382
- 2023: $4,900
- 2024: $1,784
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 104% from 445 in 2020 to 908 in 2024.
- 2020: 445
- 2021: 447
- 2022: 619
- 2023: 706
- 2024: 908
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30-day fills
30-day fills increased 166% from 834 in 2020 to 2,217 in 2024.
- 2020: 834
- 2021: 1,018
- 2022: 1,428
- 2023: 1,654
- 2024: 2,217
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Part D drug cost
Part D drug cost increased 23% from $41,909 in 2020 to $51,704 in 2024.
- 2020: $41,909
- 2021: $19,717
- 2022: $31,561
- 2023: $39,898
- 2024: $51,704
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2025 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $21.12.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $21.12 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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48 | 32 | $218.08 | $78.32 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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12 | 11 | $149.58 | $53.00 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 111 | 8,911 | $1,247.59 | 44 |
| Amlodipine Besylate | Amlodipine Besylate | 89 | 6,423 | $829.03 | 30 |
| Lisinopril | Lisinopril | 65 | 5,370 | $809.00 | 28 |
| Metoprolol Succinate | Metoprolol Succinate | 64 | 4,710 | $1,665.24 | 23 |
| Losartan Potassium | Losartan Potassium | 57 | 4,800 | $810.34 | 24 |
| Levothyroxine Sodium | Levothyroxine Sodium | 52 | 3,908 | $857.07 | 17 |
| Gabapentin | Gabapentin | 41 | 2,335 | $1,416.94 | 15 |
| Hydrochlorothiazide | Hydrochlorothiazide | 36 | 2,232 | $137.36 | 12 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 31 | 2,166 | $918.20 | 12 |
| Trazodone Hcl | Trazodone Hcl | 29 | 1,900 | $324.68 | 11 |
| Omeprazole | Omeprazole | 27 | 2,235 | $402.38 | 13 |
| Simvastatin | Simvastatin | 25 | 2,250 | $310.46 | — |
| Metformin Hcl Er | Metformin Hcl | 25 | 1,400 | $123.96 | — |
| Metformin Hcl | Metformin Hcl | 24 | 1,965 | $369.82 | 11 |
| Sertraline Hcl | Sertraline Hcl | 22 | 1,860 | $289.51 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 22 | 1,597 | $256.79 | — |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 20 | 1,741 | $248.53 | — |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 19 | 915 | $417.81 | — |
| Pioglitazone Hcl | Pioglitazone Hcl | 19 | 1,710 | $231.55 | — |
| Carvedilol | Carvedilol | 17 | 1,350 | $176.18 | — |
| Furosemide | Furosemide | 17 | 1,291 | $135.98 | — |
| Eliquis | Apixaban | 16 | 840 | $15,551.63 | — |
| Mounjaro | Tirzepatide | 16 | 448 | $14,224.81 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 15 | 595 | $447.96 | — |
| Glimepiride | Glimepiride | 13 | 1,050 | $195.36 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20250304003663
TX
6103127238
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Polinsky Medical Rehabilitation Center
1600 Miller Trunk Hwy, Duluth, MN 558115640
Phone: 2187865360
Polinsky Medical Rehabilitation Center
1600 Miller Trunk Hwy, Duluth, MN 558115640
Phone: 2187865360
Tanana Chiefs Conference
1717 W Cowles St, Fairbanks, AK 997015926
Phone: 9074516682
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Social Worker - Clinical
Licensed Independent Clinical Social Worker
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Career & Practice History
NPI enumerated May 02, 2014.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Duluth
- Sara Simonson, PA-C
- Abigail Delisle, PA-C
- Amber Voss, PA-C
- James Brych, PA-C
- Aaron Heaslet, PA-C
- Shawn Mullen, PA-C
Mailing Address
4212 Grand Ave
Duluth, MN 558072737
Phone: 2187863500