DR. MARK GRIPP
NPI 1104544501
Radiology - Diagnostic Radiology in Honolulu, HI

Q: What is Mark Gripp's NPI number?

The NPI number for Mark Gripp is 1104544501. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Mark Gripp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mark Gripp was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 22, 2022PECOS Enrolled

711 KAPIOLANI BLVD STE 200, HONOLULU, HI 96813(403) 594-1883 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Mark Gripp NPPES

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

DR. MARK GRIPP (NPI 1104544501) is an individual diagnostic radiology provider in Honolulu, Hawaii, licensed in Montana (MED-PHYS-LIC-114091) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104544501

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. MARK GRIPP

Location Address711 KAPIOLANI BLVD STE 200Honolulu, HI 96813-6028

Mailing Address46-157 Nahiku PlKaneohe, HI 96744-3625 · (403) 594-1883

Phone(403) 594-1883

Sole ProprietorYes

Enumeration DateAugust 22, 2022

NPPES CertifiedAugust 21, 2022

✔ NPI 1104544501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MT · MED-PHYS-LIC-114091

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

711 KAPIOLANI BLVD STE 200, Honolulu, HI 96813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Gripp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Gripp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proscan Nch Imaging LLC

4,757 mi

Diagnostic Radiology

24040 S TAMIAMI TRL
Bonita Springs, FL 34134

Reassigned Medicare billing, Florida enrollment
191 clinicians in this Medicare group

NPI 1750972493 (239) 598-0035

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

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 Mark Gripp's NPI number?

The NPI number for Mark Gripp is 1104544501. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Mark Gripp located?

Mark Gripp practices at 711 Kapiolani Blvd Ste 200, Honolulu, HI 96813. The listed phone number is (403) 594-1883.

What is Mark Gripp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Gripp enrolled in Medicare?

Yes. Mark Gripp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Gripp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gripp reassigns Medicare benefits to Proscan Nch Imaging LLC (Bonita Springs, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Gripp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Gripp accept?

Health plans from Blue Cross and Blue Shield of Texas list Mark Gripp 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.

When was this NPI record last updated?

The NPPES record for Mark Gripp was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.