DR. GARRETT WILLIAM FLEMING D.O.
NPI 1255606430
Surgery in Dubuque, IA

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 LANGWORTHY ST, DUBUQUE, IA 52001(563) 584-3450(563) 584-3171 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2019, Feb 14, 2019, Jul 20, 2017 (3 updates tracked since 2017).

About Dr. Garrett William Fleming D.o. NPPES

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

DR. GARRETT WILLIAM FLEMING D.O. (NPI 1255606430) is an individual surgery provider in Dubuque, Iowa, licensed in Iowa (DO-05037) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Watertown Memorial Hospital, and maintains a secondary practice location in Sterling.

NPPES Registry Identity

NPI1255606430
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GARRETT WILLIAM FLEMINGCredential: D.O.
Location Address1000 LANGWORTHY STDubuque, IA 52001-7313
Mailing Address123 Hospital Dr, Ste 2000Watertown, WI 53098-3320 · (563) 584-4100
Fax(563) 584-3171
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2012
Enumeration DateMarch 20, 2012
Last NPPES UpdateSeptember 20, 20193 updates tracked since enumeration
NPI 1255606430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IA · DO-05037
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 LANGWORTHY ST, Dubuque, IA 52001

Secondary Practice Location 1

Location 1101 E Miller RdSterling, IL 61081-1252 · Phone (815) 625-4790

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Garrett William Fleming D.o. 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 ID7214208594
PECOS Enrollment IDI20190314001349
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 11

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services18 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
31 services31 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services24 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.
26 services22 patients

Hospital Affiliations CMS Care Compare

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

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Internal Medicine (Cardiovascular Disease)
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Surgery
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Internal Medicine
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Otolaryngology
1000 LANGWORTHY ST
DUBUQUE, IA 52001

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 Garrett Fleming's NPI number?

The NPI number for Garrett Fleming is 1255606430. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Garrett Fleming located?

Garrett Fleming practices at 1000 Langworthy St, Dubuque, IA 52001. The listed phone number is (563) 584-3450.

What is Garrett Fleming's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Garrett Fleming enrolled in Medicare?

Yes. Garrett Fleming 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 Garrett Fleming accept?

Health plans from CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans, Network Health and Quartz list Garrett Fleming 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 Garrett Fleming affiliated with any hospitals?

According to CMS data, Garrett Fleming is affiliated with Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Garrett Fleming was last updated on September 20, 2019. 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.