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JOHN W PFLUG M.D.
NPI 1205826989
Otolaryngology in Omaha, NE

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
2727 S 144TH ST STE 250, OMAHA, NE 68144(402) 906-0979(025) 023-9904 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, May 8, 2019 (2 updates tracked since 2019).

About John W Pflug M.d. NPPES

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

JOHN W PFLUG M.D. (NPI 1205826989) is an individual otolaryngology provider in Omaha, Nebraska, licensed in Nebraska (18465) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Syracuse Area Health, and is a graduate of University Of Nebraska College Of Medicine (1989).

NPPES Registry Identity

NPI1205826989
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN W PFLUGCredential: M.D.
Location Address2727 S 144TH ST STE 250Omaha, NE 68144-5236
Mailing AddressPo Box 241111Omaha, NE 68124-5111 · (402) 906-0979 · Fax (402) 502-3990
Phone(402) 906-0979
Fax(025) 023-9904
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1989
Enumeration DateOctober 25, 2005
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1205826989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NE · 18465
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2727 S 144TH ST STE 250, Omaha, NE 68144
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Other Identifiers 3

Medicaid47077661913NE
Medicaid1902113525NE
Other00224NE · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

John W Pflug M.d. 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 ID4981754041
PECOS Enrollment IDI20090610000672
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 7

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.

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.
75 services59 patients
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.
52 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
24 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Syracuse Area Health

Critical Access Hospitals · Syracuse, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281309
Location2731 Healthcare DrSyracuse, NE 68446 · Otoe County

York General Hospital

Critical Access Hospitals · York, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281336
Location2222 N Lincoln AveYork, NE 68467 · York County
Emergency services

Community Medical Center, Inc.

Critical Access Hospitals · Falls City, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281352
LocationP O Box 399, 3307 Bill Schock BoulevardFalls City, NE 68355 · Richardson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68144 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES 4

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

SIMONS ENT, PC
Otolaryngology
2727 S 144TH ST STE 250
OMAHA, NE 68144
Douglas County (402) 778-5250
JESSICA R MORAN-HANSEN M.D.
Otolaryngology
2727 S 144TH ST STE 250
OMAHA, NE 68144
Douglas County (402) 778-5250
EAR NOSE AND THROAT CONSULTANTS LLC
Otolaryngology
2727 S 144TH ST STE 250
OMAHA, NE 68144
Douglas County (402) 778-5250
STANLEY H SCHACK M.D.
Otolaryngology
2727 S 144TH ST STE 250
OMAHA, NE 68144
Douglas County (402) 778-5250

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 John Pflug's NPI number?

The NPI number for John Pflug is 1205826989. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is John Pflug located?

John Pflug practices at 2727 S 144th St Ste 250, Omaha, NE 68144. The listed phone number is (402) 906-0979.

What is John Pflug's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Pflug enrolled in Medicare?

Yes. John Pflug 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 John Pflug accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 6 other insurers list John Pflug 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 John Pflug affiliated with any hospitals?

According to CMS data, John Pflug is affiliated with Syracuse Area Health, York General Hospital and Community Medical Center, Inc..

When was this NPI record last updated?

The NPPES record for John Pflug was last updated on October 9, 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.