DR. JASON M PFLUKE M.D.
NPI 1568646362
Surgery in Athens, GA

Q: What is Jason Pfluke's NPI number?

The NPI number for Jason Pfluke is 1568646362. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Q: What is Jason Pfluke'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 Jason Pfluke was last updated on July 8, 2020. 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.

Active since December 28, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

242 KING AVENUE, SUITE 220, ATHENS, GA 30606(706) 475-7110 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2020, Jul 27, 2018 (2 updates tracked since 2018).

On this page

About Dr. Jason M Pfluke M.d. NPPES

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

DR. JASON M PFLUKE M.D. (NPI 1568646362) is an individual surgery provider in Athens, Georgia, licensed in Georgia (84965) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568646362

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JASON M PFLUKECredential: M.D.

Location Address242 KING AVENUE, SUITE 220Athens, GA 30606

Mailing Address4102 Pinion DrUsaf Academy, CO 80840-2502 · (719) 333-5962 · Fax (719) 333-5670

Phone(706) 475-7110

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2004

Enumeration DateDecember 28, 2007

Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration

NPPES CertifiedJuly 8, 2020

✔ NPI 1568646362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in GA · 84965✔ Licensed in KS · 04-31931✔ Licensed in FL · ME104200✔ Licensed in TX · N6580✔ Licensed in CO · DR.0060658

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.

242 KING AVENUE, Athens, GA 30606

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11400 E Boulder St Ste 600Colorado Springs, CO 80909-5533 · Phone (719) 364-6487 · Fax (719) 364-6488

Location 24102 Pinion DrUsaf Academy, CO 80840 · Phone (719) 333-5962 · Fax (719) 333-5670

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. Jason M Pfluke 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 ID2567517626

PECOS Enrollment IDI20200603002108

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 Reassignments

Medicare enrollment records show Jason Pfluke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Athens Specialty Care LLC

0.1 mi

Cardiovascular Disease

1199 PRINCE AVE
Athens, GA 30606

Reassigned Medicare billing, Georgia enrollment
140 clinicians in this Medicare group

NPI 1184130627 (706) 475-7000

Piedmont Athens Hospitalist Physicians LLC

58 mi

Internal Medicine

35 COLLIER RD NW STE 635
Atlanta, GA 30309

Reassigned Medicare billing, Georgia enrollment
410 clinicians in this Medicare group

NPI 1578079000 (404) 367-3014

Piedmont Providers LLC

72 mi

Internal Medicine

220 J L WHITE DR STE 120
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
689 clinicians in this Medicare group

NPI 1548273592 (770) 801-2500

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

108 services81 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.

85 services85 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110046

Location2151 W Spring StreetMonroe, GA 30655 · Walton County

Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110074

Location1199 Prince AvenueAthens, GA 30606 · Clarke County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

KRUPAL JAY HARI M.D.

Internal Medicine (Cardiovascular Disease)

242 KING AVENUE, SUITE 210
ATHENS, GA 30606

Clarke County (706) 475-1700

SARAH HARRISON NP-C

Nurse Practitioner (Family)

242 KING AVENUE, STE 120
ATHENS, GA 30606

Clarke County (706) 475-5700

DR. MICHAEL JOHN GELSOMINO MD

Neurological Surgery

242 KING AVENUE, SUITE 130
ATHENS, GA 30606

Clarke County (706) 475-1870

BRIANNA NICOLE TREASTER CNM

Advanced Practice Midwife

242 KING AVENUE, SUITE 120
ATHENS, GA 30606

Clarke County (706) 475-5700

STACEY MARIE PENSO NP-C

Nurse Practitioner (Family)

242 KING AVENUE, SUITE 210
ATHENS, GA 30606

Clarke County (706) 475-1700

JANNA JONES KERSH CNM

Advanced Practice Midwife

242 KING AVENUE, SUITE 120
ATHENS, GA 30606

Clarke County (706) 475-5700

DR. JONATHAN TRENT MAGRUDER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

242 KING AVENUE, SUITE 230
ATHENS, GA 30606

Clarke County (706) 475-1700

DR. MATTHEW TYLER CRIM MD, MSC, MA

Nuclear Medicine (Nuclear Cardiology)

242 KING AVENUE, SUITE 210
ATHENS, GA 30606

Clarke County (706) 475-1700

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 Jason Pfluke's NPI number?

The NPI number for Jason Pfluke is 1568646362. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Jason Pfluke located?

Jason Pfluke practices at 242 King Avenue Suite 220, Athens, GA 30606. The listed phone number is (706) 475-7110.

What is Jason Pfluke's specialty?

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

Is Jason Pfluke enrolled in Medicare?

Yes. Jason Pfluke 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 Jason Pfluke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Pfluke reassigns Medicare benefits to 3 organizations: Piedmont Athens Specialty Care LLC (Athens, GA), Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA) and Piedmont Providers LLC (Jasper, GA). 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 Jason Pfluke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Pfluke accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Jason Pfluke 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 Jason Pfluke affiliated with any hospitals?

According to CMS data, Jason Pfluke is affiliated with Piedmont Walton Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Pfluke was last updated on July 8, 2020. 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.