DR. GENE L GRIFFITHS M.D.
NPI 1154439115
Orthopaedic Surgery in Yakima, WA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
5.42/100
CMS Quality Rating
111 S 11TH AVE STE 320, YAKIMA, WA 98902(509) 454-8888(509) 454-0061 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gene L Griffiths M.d. NPPES

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

DR. GENE L GRIFFITHS M.D. (NPI 1154439115) is an individual orthopaedic surgery provider in Yakima, Washington, licensed in Washington (MD00048142) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Saint Louis University School Of Medicine (1991).

NPPES Registry Identity

NPI1154439115
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. GENE L GRIFFITHSCredential: M.D.
Location Address111 S 11TH AVE STE 320Yakima, WA 98902-3273
Mailing AddressPo Box 2309Yakima, WA 98907-2309 · (509) 454-8888 · Fax (509) 453-0061
Fax(509) 454-0061
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1991
Enumeration DateAugust 29, 2006
Last NPPES UpdateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
NPI 1154439115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WA · MD00048142
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

111 S 11TH AVE STE 320, Yakima, WA 98902

Other Identifiers 1

Other0249141WA · Washington State Dept Of Labor & Industries

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. Gene L Griffiths M.d. 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 ID1355322983
PECOS Enrollment IDI20070725000417
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 15

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,392 services18 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
316 services32 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.
189 services129 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
79 services63 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
75 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

5.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost18.09

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
111 S 11TH AVE STE 320
YAKIMA, WA 98902
Physician Assistant
111 S 11TH AVE STE 320
YAKIMA, WA 98902
Orthopaedic Surgery (Hand Surgery)
111 S 11TH AVE STE 320
YAKIMA, WA 98902
Physical Therapist
111 S 11TH AVE STE 320
YAKIMA, WA 98902
Physical Therapist
111 S 11TH AVE STE 320
YAKIMA, WA 98902
Orthopaedic Surgery
111 S 11TH AVE STE 320
YAKIMA, WA 98902
Physician Assistant (Surgical)
111 S 11TH AVE STE 320
YAKIMA, WA 98902
Physician Assistant (Surgical)
111 S 11TH AVE STE 320
YAKIMA, WA 98902

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 Gene Griffiths's NPI number?

The NPI number for Gene Griffiths is 1154439115. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Gene Griffiths located?

Gene Griffiths practices at 111 S 11th Ave Ste 320, Yakima, WA 98902. The listed phone number is (509) 454-8888.

What is Gene Griffiths's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gene Griffiths enrolled in Medicare?

Yes. Gene 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 Gene Griffiths accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gene 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.

Is Gene Griffiths affiliated with any hospitals?

According to CMS data, Gene Griffiths is affiliated with Yakima Valley Memorial and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Gene Griffiths was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.