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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jon Hlavinka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Weiser Valley Hospital District
0.1 mi
Critical Access
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1881641629 (Idaho)
  • 77 clinicians in this Medicare group
NPI 1639373772 (208) 381-2222
Walter Knox Memorial Hospital
22 mi
Rural Health
2135 S SUB STATION RD
Emmett, ID 83617
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1063419018 (Idaho)
  • 61 clinicians in this Medicare group
NPI 1821091083 (208) 488-6300

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

Hospital Affiliations CMS Care Compare 3

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

Weiser Memorial Hospital

Critical Access Hospitals · Weiser, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131307
Location645 East 5th StreetWeiser, ID 83672 · Washington County
Emergency services

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
300 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-7400
DR. DAVID L GEE MD
Family Medicine
300 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-7400
MRS. COLLEEN M SHACKELFORD NP
Nurse Practitioner (Family)
300 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-7400
EVOLVE OBGYN, PLLC
Obstetrics & Gynecology
300 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 261-1380
SHELBY SHANABERGER RD
Dietitian, Registered
300 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-1664
CENTER FOR LIFETIME HEALTH
Family Medicine
300 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-7400
BREA L SHRUM MD
Obstetrics & Gynecology
300 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 261-1380

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 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.

Where is Jon Hlavinka located?

Jon Hlavinka practices at 300 E Bannock St, Boise, ID 83712. The listed phone number is (208) 342-7400.

What is Jon Hlavinka's specialty?

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

Is Jon Hlavinka enrolled in Medicare?

Yes. Jon Hlavinka 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.

Which organizations bill Medicare for Jon Hlavinka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Hlavinka reassigns Medicare benefits to 2 organizations: Weiser Valley Hospital District (Boise, ID) and Walter Knox Memorial Hospital (Emmett, ID). Each 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 Jon Hlavinka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Hlavinka accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Jon Hlavinka 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 Jon Hlavinka affiliated with any hospitals?

According to CMS data, Jon Hlavinka is affiliated with St Luke's Regional Medical Center, Weiser Memorial Hospital and Valor Health.

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.