JON L HLAVINKA M.D.
NPI 1194715136
Family Medicine in Boise, ID

Q: What is Jon Hlavinka's NPI number?

The NPI number for Jon Hlavinka is 1194715136. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Q: What is Jon Hlavinka's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Hlavinka was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 21, 2005PECOS EnrolledAccepts Medicare Assignment

300 E BANNOCK ST, BOISE, ID 83712(208) 342-7400(208) 342-7400 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Jul 21, 2021, Feb 28, 2017 (3 updates tracked since 2017).

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About Jon L Hlavinka M.d. NPPES

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

JON L HLAVINKA M.D. (NPI 1194715136) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M6008) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1194715136

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJON L HLAVINKACredential: M.D.

Location Address300 E BANNOCK STBoise, ID 83712-6207

Mailing Address300 E Bannock StBoise, ID 83712-6207 · (208) 342-7400 · Fax (208) 342-1879

Phone(208) 342-7400

Fax(208) 342-7400

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1983

Enumeration DateOctober 21, 2005

Last NPPES UpdateMarch 29, 20233 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1194715136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M6008

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 E BANNOCK ST, Boise, ID 83712

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Secondary Practice Location 1

Location 15865 W Hidden Springs DrBoise, ID 83714-9464 · Phone (208) 342-7400 · Fax (208) 342-1879

Other Identifiers 4

Medicaid002364500ID

Other105443ID · Blue Cross

Other000010004642ID · Blue Shield

Other806359300ID · Healthy Connections

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Jon L Hlavinka 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 ID749256949

PECOS Enrollment IDI20040909000058

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.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Valor Health

Critical Access Hospitals · Emmett, ID

OwnershipGovernment - Local

CMS Certification Number131318

Location1202 East Locust StreetEmmett, ID 83617 · Gem County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. JOHN J ECK M.D.

Family Medicine