DR. JACQUELINE D. GRIFFITHS MD
NPI 1104891373
Ophthalmology in Reston, VA

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
87.38/100
CMS Quality Rating
12110 SUNSET HILLS RD, SUITE C-50, RESTON, VA 20190(703) 834-9777(703) 834-8187 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jacqueline D. Griffiths Md NPPES

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

DR. JACQUELINE D. GRIFFITHS MD (NPI 1104891373) is an individual ophthalmology provider in Reston, Virginia, licensed in Virginia (0101051056) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1990).

NPPES Registry Identity

NPI1104891373
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. JACQUELINE D. GRIFFITHSCredential: MD
Location Address12110 SUNSET HILLS RD, SUITE C-50Reston, VA 20190-5852
Mailing Address12110 Sunset Hills Rd, Suite C-50Reston, VA 20190-5852 · (703) 834-9777 · Fax (703) 834-8187
Fax(703) 834-8187
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1990
Enumeration DateFebruary 21, 2006
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1104891373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101051056
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

12110 SUNSET HILLS RD, Reston, VA 20190

Other Names 1

Professional Name (2)Dr. Jaqueline D. Griffiths M.d.

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

Dr. Jacqueline D. Griffiths Md 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 ID3072592005
PECOS Enrollment IDI20051122000539, I20230822000558
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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
544 services482 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
354 services232 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
137 services80 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
132 services74 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
128 services121 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
112 services112 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost57.95

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
96%114 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
84%2,118 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 77% · 378 patients
Patients tobacco: 80% · 378 patients
1%378 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
95%93 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
12110 SUNSET HILLS RD, SUITE C50
RESTON, VA 20190
Optometrist
12110 SUNSET HILLS RD, #50
RESTON, VA 20190
Optometrist
12110 SUNSET HILLS RD, SUITE C-50
RESTON, VA 20190

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 Jacqueline Griffiths's NPI number?

The NPI number for Jacqueline Griffiths is 1104891373. It was assigned to this individual provider in the NPPES registry on February 21, 2006. The provider is also known as Dr. Jaqueline D. Griffiths M.D..

Where is Jacqueline Griffiths located?

Jacqueline Griffiths practices at 12110 Sunset Hills Rd Suite C-50, Reston, VA 20190. The listed phone number is (703) 834-9777.

What is Jacqueline Griffiths's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jacqueline Griffiths enrolled in Medicare?

Yes. Jacqueline Griffiths 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 Jacqueline Griffiths accept?

Health plans from Providence Health Plan list Jacqueline Griffiths 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 Jacqueline Griffiths was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.