Active NPI 1558307660 Individual Practitioner Male Practitioner

Dr. Thomas Robert Austgen , MD

Surgery • Jacksonville Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Austgen, MD is a certified Surgery practicing in Jacksonville Beach, FL. With approximately 39 years of clinical experience since graduating from Baylor College Of Medicine in 1987, Dr. Austgen delivers high-quality medical care to the local community at 1370 13TH AVE S.

Dr. Austgen is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1370 13th Ave S
Suite 116

Jacksonville Beach, FL 322503206

Telephone 9042473858

Fax 9042477079

Associated Practice Facility / Clinic

🏢 Oceanside Pediatrics Facility NPI 1356458228

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +12.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Jacksonville Beach, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Austgen (39 Years) 39 Yrs

Jacksonville Beach Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	37	$115.00	$51.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$483.00	$171.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$315.00	$113.39
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$210.00	$92.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$310.00	$131.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	31	$126.00	$57.53
49505 Repair of groin hernia (5 years or older)	23	23	$1884.13	$614.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$403.00	$135.26
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$299.00	$82.21
19301 Partial removal of breast	20	19	$1998.00	$711.94
38900 Lymph node imaging during surgery	20	20	$427.00	$148.24
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1341.00	$284.43
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2500.00	$778.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$599.00	$227.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	51	$115.00	$50.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$483.00	$166.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$310.00	$127.33
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$210.00	$87.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$315.00	$112.48
49505 Repair of groin hernia (5 years or older)	30	30	$1832.33	$546.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$403.00	$132.04
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$299.00	$84.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$126.00	$56.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$209.00	$80.03
38900 Lymph node imaging during surgery	16	16	$453.69	$149.31
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1341.00	$280.78
19301 Partial removal of breast	12	12	$1998.00	$695.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$483.58	$160.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	37	$115.00	$38.80
99213 Established patient office or other outpatient visit, typically 15 minutes	55	46	$210.00	$90.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$315.00	$109.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$310.00	$126.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	22	$126.00	$56.22
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$299.00	$101.09
49505 Repair of groin hernia (5 years or older)	27	27	$1842.78	$596.10
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2500.00	$742.51
38900 Lymph node imaging during surgery	14	14	$427.00	$136.06
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$349.00	$18.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$483.00	$169.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	44	$115.00	$38.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$317.83	$112.39
99213 Established patient office or other outpatient visit, typically 15 minutes	69	54	$210.00	$91.61
99221 Initial hospital inpatient care per day, typically 30 minutes	41	41	$299.00	$102.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$310.00	$130.11
49505 Repair of groin hernia (5 years or older)	31	31	$2019.19	$622.28
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$2404.70	$771.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$126.00	$55.94
38900 Lymph node imaging during surgery	13	13	$459.85	$154.44
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1452.75	$319.14
99218 Hospital observation care typically 30 minutes	11	11	$283.00	$99.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	57	$115.00	$40.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$483.00	$167.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$315.00	$108.70
99221 Initial hospital inpatient care per day, typically 30 minutes	61	60	$299.00	$105.52
99213 Established patient office or other outpatient visit, typically 15 minutes	54	49	$210.00	$75.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$310.00	$109.65
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	31	31	$2226.00	$783.18
49505 Repair of groin hernia (5 years or older)	28	28	$1834.29	$606.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$126.00	$45.52
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$216.00	$76.76
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1452.75	$345.15
38900 Lymph node imaging during surgery	11	11	$465.82	$160.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	56	$115.00	$39.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$315.00	$108.35
99213 Established patient office or other outpatient visit, typically 15 minutes	70	58	$210.00	$73.86
99221 Initial hospital inpatient care per day, typically 30 minutes	66	64	$299.00	$103.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$126.00	$44.67
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$216.00	$75.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$483.00	$164.85
49505 Repair of groin hernia (5 years or older)	35	35	$1971.86	$609.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$310.15	$108.23
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	33	33	$2226.00	$751.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1121.00	$355.29
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$349.00	$19.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$315.00	$106.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	57	$126.00	$42.64
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$216.00	$73.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	22	$115.00	$38.55
49505 Repair of groin hernia (5 years or older)	31	31	$1863.87	$582.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$2226.00	$755.25
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$210.00	$70.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$483.00	$153.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	25	$300.00	$104.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$310.00	$106.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	14	$209.00	$67.16
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$299.00	$102.78
38900 Lymph node imaging during surgery	12	12	$427.00	$135.02
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1341.00	$312.63
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	11	11	$4169.00	$1350.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$315.00	$107.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	50	$126.00	$42.83
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$216.00	$73.44
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$210.00	$70.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	30	$209.00	$72.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	37	$300.00	$104.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	24	$115.00	$39.46
49505 Repair of groin hernia (5 years or older)	30	30	$2140.00	$627.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$310.00	$106.03
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$2226.00	$752.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$483.00	$163.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1121.00	$338.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME95091

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

270661000 (FL)

Medicaid State Provider ID

289542326A (GA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

48980 (FL)

Commercial Insurance / Payer ID Railroad Medicare

P00722976

Commercial Insurance / Payer ID Aetna

4516825 (FL)

Commercial Insurance / Payer ID Avmed

294577 (FL)

Commercial Insurance / Payer ID Cigna

2922220 (FL)

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

1370 13th Ave S, Jacksonville, FL 322503206

Phone: 9042473858

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Justin Rose , DO

Surgery

NPI 1245586775

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 22, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2011

Registered at 1370 13TH AVE S, SUITE 116, JACKSONVILLE BEACH, FL 322503206 (Tel: 9042473858)

📍

Updated Business Mailing Address June 22, 2011

Registered at 11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 322231613 (Tel: 9043961725)

👤

Provider Name / Credentials Updated June 22, 2011

Recorded as THOMAS AUSTGEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2011

Surgery (License #ME95091 in FL)

🟢

Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Austgen. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558307660

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2006

Last Update: June 22, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11945 San Jose Blvd, Bldg 300

Jacksonville, FL 322231613

Phone: 9043961725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.