Individual provider Active NPI

Reid Robert Pflueger, DO

  • Plastic Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1013201995
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
02004968A Issued in IN
Practice address
7920 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804
Phone
(260) 490-7111
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 02004968A IN Primary

Addresses

Primary practice location

7920 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804

Mailing address

7920 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4166
Phone (260) 490-7111

Other practice location 1

10101 Ernst Rd Ste 1400
Roanoke, IN 46783-9711
Phone (260) 234-5400

Other identifiers 1

IdentifierTypeStateIssuer
300007412MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpflueger@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711002860 IN Practitioner - Plastic and Reconstructive Surgery 1052559549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy13
Melanoma (skin cancer) excision36
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC CurrentSince Apr 20, 2019 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Health Fort Wayne Physicians, LLC CurrentSince Dec 1, 2024 Accepting new patients
Lutheran Medical Group LLC CurrentSince Apr 20, 2019 Accepting new patients

Locations

7920 W Jefferson Blvd
Ste 200
Fort Wayne, IN 46804
Phone (260) 490-7111

7900 W Jefferson Blvd
Ste 306
Fort Wayne, IN 46804
Phone (260) 458-3610

5750 Falls Dr
Fort Wayne, IN 46804
Phone (260) 204-5719

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806

2510 E DuPont Rd
Ste 236
Fort Wayne, IN 46825
Phone (260) 458-3760

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

10101 Ernst Rd
Ste 1400
Roanoke, IN 46783
Phone (317) 948-2550

10101 Ernst Rd
Roanoke, IN 46783
Phone (260) 234-5401

Networks

  • KY PPO C-SNP
  • KY PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL PPO Downstate
  • IL HMO C-SNP
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: rpflueger@directaddress.net
  • Direct secure messaging: rpflueger@direct.iuhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1013201995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 W JEFFERSON BLVD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044166",
            "telephone_number": "260-490-7111",
            "fax_number": "260-490-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 W JEFFERSON BLVD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-490-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ernst Rd Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "IN",
            "postal_code": "467839711",
            "country_code": "US",
            "telephone_number": "260-234-5400",
            "fax_number": "317-222-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFLUEGER",
        "first_name": "REID",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "02004968A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007412",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpflueger@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10101 Ernst Rd Ste 1400",
            "city": "Roanoke",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467839711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.