AUSTIN J FINKLEA DO
NPI 1376835926
Obstetrics & Gynecology in Bluffton, IN

Active since May 13, 2011PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
1026 S MAIN ST, BLUFFTON, IN 46714(260) 919-3880(260) 919-3882 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Austin J Finklea Do NPPES

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

AUSTIN J FINKLEA DO (NPI 1376835926) is an individual obstetrics & gynecology provider in Bluffton, Indiana, licensed in Indiana (02004623A) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2011).

NPPES Registry Identity

NPI1376835926
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameAUSTIN J FINKLEACredential: DO
Location Address1026 S MAIN STBluffton, IN 46714-3614
Mailing Address7916 W Jefferson BlvdFort Wayne, IN 46804-4140 · (260) 434-6377 · Fax (260) 434-6389
Fax(260) 919-3882
Sole ProprietorYes
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2011
Enumeration DateMay 13, 2011
Last NPPES UpdateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
NPI 1376835926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IN · 02004623A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101019257 (MI)
1026 S MAIN ST, Bluffton, IN 46714

Other Identifiers 1

Other02004623AIN · License

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

Austin J Finklea 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 ID5799098513
PECOS Enrollment IDI20240503000807
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.
84 services84 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.
41 services32 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.
23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46714 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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 4

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

Family Medicine
1026 S MAIN ST
BLUFFTON, IN 46714
Nurse Practitioner (Psychiatric/Mental Health)
1026 S MAIN ST
BLUFFTON, IN 46714
Specialist
1026 S MAIN ST
BLUFFTON, IN 46714
Internal Medicine
1026 S MAIN ST
BLUFFTON, IN 46714

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 Austin Finklea's NPI number?

The NPI number for Austin Finklea is 1376835926. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Where is Austin Finklea located?

Austin Finklea practices at 1026 S Main St, Bluffton, IN 46714. The listed phone number is (260) 919-3880.

What is Austin Finklea's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Austin Finklea enrolled in Medicare?

Yes. Austin Finklea 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 Austin Finklea accept?

Health plans from Blue Cross Blue Shield of Arizona list Austin Finklea 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.

When was this NPI record last updated?

The NPPES record for Austin Finklea was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.