Individual provider Active NPI

David Clark Fleeger, MD

  • Colon & Rectal Surgery Physician
  • Austin, TX
National Provider Identifier
1073597688
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
J0485 Issued in TX
Practice address
4106 Medical Pkwy
Austin, TX 78756
Phone
(512) 418-1979
Fax
(512) 418-1943
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X J0485 TX Primary

Addresses

Primary practice location

4106 Medical Pkwy
Austin, TX 78756

Mailing address

4106 Medical Pkwy
Austin, TX 78756-3722
Phone (512) 452-9551

Other identifiers 1

IdentifierTypeStateIssuer
105600403MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000460 TX Practitioner - Colorectal Surgery (Proctology) 9830263805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Texas a & M University System, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3001 E President George Bush Hwy
Suite 100
Richardson, TX 75082-3542

PO Box
Suite 911242
Dallas, TX 75391

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0485TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince May 1, 2023 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince May 1, 2023 Accepting new patients

Locations

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

4207 James Casey St
Ste 201
Austin, TX 78745
Phone (512) 440-7894

4106 Medical Pkwy
Austin, TX 78756
Phone (512) 418-1979

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2410 Round Rock Ave
Ste 150
Round Rock, TX 78681
Phone (512) 341-8724

Interoperability endpoints

  • Direct secure messaging: david.fleeger.1@421.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1073597688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563722",
            "telephone_number": "512-452-9551",
            "fax_number": "512-452-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-418-1979",
            "fax_number": "512-418-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEEGER",
        "first_name": "DAVID",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "J0485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105600403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.