2026 NPPES data Family Medicine Physician NPI 1528075199 M.D.
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Kimberly Ploehn, M.D.

Family Medicine Physician in Crown Point, Indiana. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
869
Medicare Part D claims · 560 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
96%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kimberly Ploehn, M.D. filed 869 Medicare Part D claims in 2023 as a Family Medicine Physician in Crown Point, Indiana, prescribing 96% generic.

869
Part D claims, 2023
96%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Kimberly Ploehn, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

869 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Kimberly Ploehn, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Kimberly Ploehn, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/03/2006

NPI 1528075199

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

869 75% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Indiana

How Family Medicine Physician compares to other specialties among Indiana providers

Indiana providers

Largest specialties in Indiana (% of in-state providers)

Behavior Technician - 13.6%Behavior Technician13.6%Student in an Organized Health Care Education/Training Program - 4.7%Student in an Organized Health Care Education/Training Program4.7%Pharmacist - 4.3%Pharmacist4.3%Family Nurse Practitioner - 4.2%Family Nurse Practitioner4.2%Clinical Social Worker - 4.2%Clinical Social Worker4.2%Mental Health Counselor - 4.1%Mental Health Counselor4.1%Family Medicine Physician - 2.8%Family Medicine Physician2.8%
Largest specialties in Indiana (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Kimberly Ploehn, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 10215 BROADWAY FL 1, Crown Point, IN, 46307, with a listed phone of (219) 661-6098. NPI 1528075199 was issued on 08/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ploehn most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 869 prescription claims written by this provider, covering 560 Medicare beneficiaries and totaling roughly $10K in drug spend, split 2% brand-name and 96% generic by claim count, with an opioid prescribing rate of 3.0%. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

10215 BROADWAY FL 1
Crown Point, IN 46307

Provider Details

NPI 1528075199
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 08/03/2006

Hospital and facility affiliations

Facilities where Kimberly Ploehn, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Community Care Network Inc
Crown Point, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

Kimberly Ploehn, M.D. - brand share 2.0%
Family Medicine Physician average

2% brand-name claims vs 96% generic, on 869 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

869
Total Claims
$10K
Total Drug Cost
560
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
879
Total Day Supply
8,450
Brand vs Generic
2% brand / 96% generic
Brand Drug Cost
$2K
Generic Drug Cost
$8K
Opioid Claims
26 (3.0% rate)
Antibiotic Claims
397

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.05
Gender Split
64% female / 36% male
Age Distribution
<65: 57, 65-74: 281, 75-84: 175, 85+: 47

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Kimberly Ploehn, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
96
Azithromycin
83
Amoxicillin
68
Cephalexin
67
Dexamethasone
57
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
54
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
46
Ibuprofen
25
Fluticasone Propionate
23
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
21

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How Kimberly Ploehn, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Kimberly Ploehn, M.D.'s 869 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Ploehn.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Kimberly Ploehn, M.D.'s specialty?
Kimberly Ploehn, M.D. specializes in Family Medicine Physician and practices in Crown Point, Indiana. Credentials: M.D..
How much does Kimberly Ploehn, M.D. prescribe under Medicare Part D?
In 2023, Kimberly Ploehn, M.D. wrote 869 Medicare Part D claims totaling $10K in drug costs for 560 beneficiaries.
Where is Kimberly Ploehn, M.D. located?
Kimberly Ploehn, M.D. is located at 10215 BROADWAY FL 1, Crown Point, IN, 46307. Phone: (219) 661-6098.
What is Kimberly Ploehn, M.D.'s NPI number?
Kimberly Ploehn, M.D.'s National Provider Identifier (NPI) is 1528075199, issued on 08/03/2006.
Does Kimberly Ploehn, M.D. prescribe more brand-name or generic drugs?
Kimberly Ploehn, M.D.'s prescribing is 2% brand-name and 96% generic drugs by claim count, with $2K in brand drug costs.
Does Kimberly Ploehn, M.D. prescribe opioids?
Yes, Kimberly Ploehn, M.D. had 26 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Kimberly Ploehn, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Kimberly Ploehn, M.D.'s most frequently prescribed drugs include Prednisone, Azithromycin, Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kimberly Ploehn, M.D. accept Medicare?
Kimberly Ploehn, M.D. appears in CMS Medicare data with 869 Part D claims and 560 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kimberly Ploehn, M.D.'s credentials?
Kimberly Ploehn, M.D.'s NPI is 1528075199 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.