JOHN W PFLUG M.D.
NPI 1205826989
Otolaryngology in Omaha, NE
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show John Pflug reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68144
- Reassigned Medicare billing, Nebraska enrollment
Lincoln, NE 68510
- Reassigned Medicare billing, Nebraska enrollment
- 525 clinicians in this Medicare group
Grand Island, NE 68803
- Reassigned Medicare billing, Nebraska enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NEYork General Hospital
Critical Access Hospitals · York, NECommunity Medical Center, Inc.
Critical Access Hospitals · Falls City, NEPhysician 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.
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.
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.
Which organizations bill Medicare for John Pflug's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pflug reassigns Medicare benefits to 3 organizations: John W Pflug MD, PC (Omaha, NE), Chi Health Clinic Specialty, LLC (Lincoln, NE) and Grand Island Ear, Nose & Throat PC (Grand Island, NE). 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 John Pflug's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Pflug accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 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 2 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.
# John W Pflug, M.D. · NPI 1205826989
Otolaryngology physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since October 25, 2005.
## Identity
- **NPI:** 1205826989 (Entity type: Individual)
- **Enumerated:** October 25, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 18465 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 2727 S 144TH ST STE 250, Omaha, NE 68144-5236
- **Phone:** (402) 906-0979 · **Fax:** (025) 023-9904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): John W Pflug MD, PC (NPI 1902113525, Omaha, NE); Chi Health Clinic Specialty, LLC (NPI 1285138065, Lincoln, NE); Grand Island Ear, Nose & Throat PC (NPI 1841486479, Grand Island, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** October 9, 2024
- **Other identifiers:** Medicaid 47077661913 (NE); Medicaid 1902113525 (NE); Other 00224 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1205826989) · Data from the CMS NPPES public registry.