REID ROBERT PFLUEGER DO
NPI 1013201995
Plastic Surgery in Fort Wayne, IN

Active since June 08, 2011PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
7920 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804(260) 490-7111 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Jul 26, 2018 (2 updates tracked since 2018).

About Reid Robert Pflueger Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REID ROBERT PFLUEGER DO (NPI 1013201995) is an individual plastic surgery provider in Fort Wayne, Indiana, licensed in Indiana (02004968A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1013201995
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameREID ROBERT PFLUEGERCredential: DO
Location Address7920 W JEFFERSON BLVD STE 200Fort Wayne, IN 46804
Mailing Address7920 W Jefferson Blvd Ste 200Fort Wayne, IN 46804-4166 · (260) 490-7111 · Fax (260) 490-7111
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011
Enumeration DateJune 8, 2011
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1013201995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in IN · 02004968A
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
7920 W JEFFERSON BLVD STE 200, Fort Wayne, IN 46804

Secondary Practice Location 1

Location 110101 Ernst Rd Ste 1400Roanoke, IN 46783-9711 · Phone (260) 234-5400 · Fax (317) 222-2372

Other Identifiers 1

Medicaid300007412IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Reid Robert Pflueger Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052559549
PECOS Enrollment IDI20170711002860
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
19 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
7920 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Urology
7920 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Urology
7920 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Urology
7920 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Plastic Surgery
7920 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reid Pflueger's NPI number?

The NPI number for Reid Pflueger is 1013201995. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Reid Pflueger located?

Reid Pflueger practices at 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804. The listed phone number is (260) 490-7111.

What is Reid Pflueger's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Reid Pflueger enrolled in Medicare?

Yes. Reid Pflueger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Reid Pflueger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Reid Pflueger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Reid Pflueger affiliated with any hospitals?

According to CMS data, Reid Pflueger is affiliated with Indiana University Health Ball Memorial Hospital and Dupont Hospital LLC.

When was this NPI record last updated?

The NPPES record for Reid Pflueger was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.