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DR. KEVIN FLUCKIGER DPM
NPI 1083117584
Podiatrist - Foot & Ankle Surgery in Jbsa Lackland, TX

Active since March 12, 2018PECOS Enrolled
84.22/100
CMS Quality Rating
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236(210) 292-6225 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2020, Sep 7, 2019, Aug 12, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Kevin Fluckiger Dpm NPPES

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

DR. KEVIN FLUCKIGER DPM (NPI 1083117584) is an individual foot & ankle surgery provider in Jbsa Lackland, Texas, licensed in Utah (0) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083117584
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KEVIN FLUCKIGERCredential: DPM
Location Address1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHCJbsa Lackland, TX 78236-9908
Mailing Address1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghcJbsa Lackland, TX 78236-9908 · (210) 292-6225
Phone(210) 292-6225
Sole ProprietorNo
Enumeration DateMarch 12, 2018
Last NPPES UpdateOctober 19, 20204 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1083117584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in UT · 0
1100 WILFORD HALL LOOP, BLDG 4554, Jbsa Lackland, TX 78236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Fluckiger Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Fluckiger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Utah Endocrinology Associates PLLC
1,080 mi
Endocrinology, Diabetes & Metabolism
470 EAST 3900 SOUTH, #200
Salt Lake City, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 15 clinicians in this Medicare group
NPI 1417121609 (801) 747-2800
Exodus Healthcare Network PLLC
1,089 mi
Family Medicine
3665 S 8400 W, STE 110
Magna, UT 84044
  • Reassigned Medicare billing, Utah enrollment
  • 43 clinicians in this Medicare group
NPI 1306952783 (801) 250-9638
Shoshone-Paiute Tribes
1,308 mi
Clinic/Center
1623 HOSPITAL LOOP
Owyhee, NV 89832
  • Reassigned Medicare billing, Texas enrollment
  • 36 clinicians in this Medicare group
NPI 1528230224 (775) 757-2415

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

84.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost47.41

Other Providers at the Same Location NPPES 20

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

DR. DAVID LYNN WELLS D.D.S., M.S.
Dentist (Oral and Maxillofacial Pathology)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6225
DEBORAH ANNE CLEARY CRNA
Nurse Anesthetist, Certified Registered
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Bexar County (210) 542-7563
DR. ANN STEPHANIE HRYSHKO-MULLEN PH.D.
Psychologist (Health Service)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN CREDENTIALS (CMC)
JBSA-LACKLAND, TX 78236
Bexar County (210) 292-5968
DR. MARIO GEORGE NICOLAS PH.D
Psychologist
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6225
DR. JANE SUEKO WALLACE DDS
Dentist (General Practice)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6225
DR. MARY A WEBB PA-C
Physician Assistant (Medical)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Bexar County (210) 565-4112
DR. PETER MAAG WILLIAMS M.D.
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP, BLDG 4554, 59MDW/SGHC
JBSA - LACKLAND, TX 78236
Bexar County (210) 292-5256
MRS. SUZANNE B. STINSON M.A., CCC-SP
Speech-Language Pathologist
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Bexar County (210) 292-2665

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 Kevin Fluckiger's NPI number?

The NPI number for Kevin Fluckiger is 1083117584. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Kevin Fluckiger located?

Kevin Fluckiger practices at 1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/Sghc, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-6225.

What is Kevin Fluckiger's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kevin Fluckiger enrolled in Medicare?

Yes. Kevin Fluckiger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Fluckiger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Fluckiger reassigns Medicare benefits to 3 organizations: Utah Endocrinology Associates PLLC (Salt Lake City, UT), Exodus Healthcare Network PLLC (Magna, UT) and Shoshone-Paiute Tribes (Owyhee, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Fluckiger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Fluckiger was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.