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

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: July 19, 2026.

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

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
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

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

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. 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
242 KING AVENUE, SUITE 210
ATHENS, GA 30606
Surgery
242 KING AVENUE, SUITE 220
ATHENS, GA 30606
Neurological Surgery
242 KING AVENUE, SUITE 130
ATHENS, GA 30606
Advanced Practice Midwife
242 KING AVENUE, SUITE 120
ATHENS, GA 30606
Nurse Practitioner (Family)
242 KING AVENUE, SUITE 210
ATHENS, GA 30606
Thoracic Surgery (Cardiothoracic Vascular Surgery)
242 KING AVENUE, SUITE 230
ATHENS, GA 30606
Nurse Practitioner (Family)
242 KING AVENUE, SUITE 150
ATHENS, GA 30606
Neurological Surgery
242 KING AVENUE, MSB SECOND FLOOR
ATHENS, GA 30606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568646362, enumerated as an "individual" on December 28, 2007.

The provider is located at 242 KING AVENUE SUITE 220 ATHENS, GA 30606 and the phone number is (706) 475-7110.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.

Jason Pfluke is affiliated with: PIEDMONT WALTON HOSPITAL and PIEDMONT ATHENS REGIONAL MEDICAL CENTER.