JOHN BLAISE PFLUGI DO
NPI 1790179331
Internal Medicine in Mason City, IA

Active since March 21, 2015PECOS EnrolledAccepts Medicare Assignment
621 S. ILLINOIS AVE, SUITE 100, MASON CITY, IA 50401(641) 428-6900(641) 428-6909 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Dec 21, 2018 (2 updates tracked since 2018).

About John Blaise Pflugi Do NPPES

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

JOHN BLAISE PFLUGI DO (NPI 1790179331) is an individual internal medicine provider in Mason City, Iowa, licensed in Iowa (05241) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790179331
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN BLAISE PFLUGICredential: DO
Location Address621 S. ILLINOIS AVE, SUITE 100Mason City, IA 50401-5489
Mailing Address621 S. Illinois Ave, Suite 103Mason City, IA 50401-5489 · (641) 428-3041 · Fax (641) 428-3059
Fax(641) 428-6909
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 21, 2015
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1790179331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IA · 05241
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 172103 (OR)
621 S. ILLINOIS AVE, Mason City, IA 50401

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

John Blaise Pflugi 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 ID8628365624
PECOS Enrollment IDI20181218003749
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
361 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
159 services98 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
36 services32 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
14 services13 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
13 services13 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Franklin General Hospital

Critical Access Hospitals · Hampton, IA
OwnershipGovernment - Local
CMS Certification Number161308
Location1720 Central Avenue EastHampton, IA 50441 · Franklin County
Emergency services

Mitchell County Regional Health

Critical Access Hospitals · Osage, IA
OwnershipGovernment - Local
CMS Certification Number161323
Location616 North Eighth StreetOsage, IA 50461 · Mitchell County
Emergency services

Floyd County Medical Center

Critical Access Hospitals · Charles City, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161347
Location800 11th StCharles City, IA 50616 · Floyd County
Emergency services Birthing friendly

Kossuth Regional Health Center

Critical Access Hospitals · Algona, IA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161353
Location1515 South Phillips StreetAlgona, IA 50511 · Kossuth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Pflugi's NPI number?

The NPI number for John Pflugi is 1790179331. It was assigned to this individual provider in the NPPES registry on March 21, 2015.

Where is John Pflugi located?

John Pflugi practices at 621 S. Illinois Ave Suite 100, Mason City, IA 50401. The listed phone number is (641) 428-6900.

What is John Pflugi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Pflugi enrolled in Medicare?

Yes. John Pflugi 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 John Pflugi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list John Pflugi 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 John Pflugi affiliated with any hospitals?

According to CMS data, John Pflugi is affiliated with Mercyone North Iowa Medical Center, Franklin General Hospital, Mitchell County Regional Health, Floyd County Medical Center and Kossuth Regional Health Center.

When was this NPI record last updated?

The NPPES record for John Pflugi was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.