DR. THOMAS ROBERT AUSTGEN MD
NPI 1558307660
Surgery in Jacksonville Beach, FL

Q: What is Thomas Austgen's NPI number?

The NPI number for Thomas Austgen is 1558307660. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Thomas Austgen M.D..

Q: What is Thomas Austgen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Austgen was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment

90.3/100

CMS Quality Rating

1370 13TH AVE S, SUITE 116, JACKSONVILLE BEACH, FL 32250(904) 247-3858(904) 247-7079 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Thomas Robert Austgen Md NPPES

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

DR. THOMAS ROBERT AUSTGEN MD (NPI 1558307660) is an individual surgery provider in Jacksonville Beach, Florida, licensed in Florida (ME95091) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Baylor College Of Medicine (1987).

NPPES Registry Identity

NPI1558307660

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. THOMAS ROBERT AUSTGENCredential: MD

Location Address1370 13TH AVE S, SUITE 116Jacksonville Beach, FL 32250-3206

Mailing Address11945 San Jose Blvd, Bldg 300Jacksonville, FL 32223-1613 · (904) 396-1725 · Fax (904) 399-1717

Phone(904) 247-3858

Fax(904) 247-7079

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1987

Enumeration DateJune 20, 2006

Last NPPES UpdateJune 22, 2011

✔ NPI 1558307660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME95091

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.

1370 13TH AVE S, Jacksonville Beach, FL 32250

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Other Names 1

Other Name (5)Thomas Austgen M.d.

Other Identifiers 9

Medicaid270661000FL

Other294577FL · Avmed

Other2922220FL · Cigna

Medicare UPINF75771

Medicaid289542326AGA

Other48980FL · Blue Cross Blue Shield

OtherP00722976Railroad Medicare

Other4516825FL · Aetna

Medicare PIN48980YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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

Dr. Thomas Robert Austgen Md 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 ID5890763155

PECOS Enrollment IDI20040923000841

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 Reassignment

Medicare enrollment records show Thomas Austgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Florida Surgeons, PA

16 mi

Surgery

11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223

Reassigned Medicare billing, Florida enrollment
321 clinicians in this Medicare group

NPI 1912953290 (904) 396-1725

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 14

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

73 services37 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.

69 services69 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.

58 services58 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.

54 services50 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.

38 services38 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.

37 services31 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

23 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

21 services21 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

20 services19 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

20 services20 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

15 services15 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

11 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

90.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

82.37

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

84%421 patients4/55-star benchmark: 100%

Breast Cancer Screening

72%161 patients4/55-star benchmark: 93%

Cervical Cancer Screening

56%169 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

63%109 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

61%388 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

38%29 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

80%980 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

54%309 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

94%647 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%551 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%765 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 92% · 556 patients

Patients screened: 93% · 556 patients

97%31 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

89%268 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

89%47 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 321 patients

Patients totalRate: 3% · 321 patients

3%321 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

CHERYL LYNN DIXON MD

Anesthesiology

1370 13TH AVE S, SUITE 121
JACKSONVILLE, FL 32250

Duval County (904) 421-2119

SOUTHEASTERN MANAGEMENT, LLC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

1370 13TH AVE S, SUITE 121
JACKSONVILLE BEACH, FL 32250

Duval County (904) 249-0041

BARBARA O'REILLY M.D., P.A.

Pediatrics

1370 13TH AVE S, STE. 216
JACKSONVILLE BEACH, FL 32250

Duval County (904) 246-8480

JOHN C WILLIAMS MD

Urology

1370 13TH AVE S, SUITE 115
JACKSONVILLE, FL 32250

Duval County (904) 421-2119

LYERLY BAPTIST INC

Psychiatry & Neurology (Neurology)

1370 13TH AVE S, SUITE 215
JACKSONVILLE BEACH, FL 32250

Duval County (904) 249-1041

OCEANSIDE PEDIATRICS

Pediatrics

1370 13TH AVE S, STE 216
JACKSONVILLE BEACH, FL 32250

Duval County (904) 246-8480

JOANNA MATHENEY RPH

Pharmacist

1370 13TH AVE S, SUITE 117
JACKSONVILLE BEACH, FL 32250

Duval County (904) 390-3601

KALINA SANDERS M.D.

Psychiatry & Neurology (Neurology)

1370 13TH AVE S, SUITE 215
JACKSONVILLE, FL 32250

Duval County (904) 249-1041

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 Thomas Austgen's NPI number?

The NPI number for Thomas Austgen is 1558307660. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Thomas Austgen M.D..

Where is Thomas Austgen located?

Thomas Austgen practices at 1370 13th Ave S Suite 116, Jacksonville Beach, FL 32250. The listed phone number is (904) 247-3858.

What is Thomas Austgen's specialty?

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

Is Thomas Austgen enrolled in Medicare?

Yes. Thomas Austgen 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 organization bills Medicare for Thomas Austgen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Austgen reassigns Medicare benefits to North Florida Surgeons, PA (Jacksonville, FL). The 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 Thomas Austgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Austgen accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Thomas Austgen 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 Thomas Austgen affiliated with any hospitals?

According to CMS data, Thomas Austgen is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Thomas Austgen was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.