JOHN L MIGNONE MD, PHD
NPI 1194834127
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Seattle, WA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
80.13/100
CMS Quality Rating
1600 E JEFFERSON ST STE 600, SEATTLE, WA 98122(206) 215-4545(206) 215-4550 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2020, Dec 19, 2018 (2 updates tracked since 2018).

About John L Mignone Md, Phd NPPES

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

JOHN L MIGNONE MD, PHD (NPI 1194834127) is an individual advanced heart failure and transplant cardiology provider in Seattle, Washington, licensed in Washington (MD60069013) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Duke University School Of Medicine (2006).

NPPES Registry Identity

NPI1194834127
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameJOHN L MIGNONECredential: MD, PHD
Location Address1600 E JEFFERSON ST STE 600Seattle, WA 98122-5649
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 215-4550
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2006
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1194834127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in WA · MD60069013
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60069013 (WA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD60069013 (WA)
1600 E JEFFERSON ST STE 600, Seattle, WA 98122

Other Identifiers 1

Medicaid1194834127WA

Accepted 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

John L Mignone Md, Phd 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 ID1658506142
PECOS Enrollment IDI20131111000217
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 John Mignone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
550 17TH AVE FL 6
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
235 services196 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
141 services138 patients
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.
106 services83 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
104 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
75 services73 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

80.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.12
Promoting Interoperability100
Improvement Activities40
Cost52.64

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier57 claims58 services$18.95 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier80 claims287 services$35.99 avg. paid by Medicare
Injection, dobutamine hydrochloride, per 250 mg J1250
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier50 claims802 services$4.95 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier31 claims1,731 services$1.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122
Internal Medicine (Cardiovascular Disease)
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122
Psychiatry & Neurology (Psychiatry)
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122
Nurse Practitioner
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122
Internal Medicine (Cardiovascular Disease)
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122
Social Worker (Clinical)
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122
Nurse Practitioner (Adult Health)
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122
Physician Assistant
1600 E JEFFERSON ST STE 600
SEATTLE, WA 98122

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 John Mignone's NPI number?

The NPI number for John Mignone is 1194834127. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is John Mignone located?

John Mignone practices at 1600 E Jefferson St Ste 600, Seattle, WA 98122. The listed phone number is (206) 215-4545.

What is John Mignone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is John Mignone enrolled in Medicare?

Yes. John Mignone 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 John Mignone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mignone reassigns Medicare benefits to 2 organizations: Swedish Health Services (Seattle, WA) and Southeast Alaska Regional Health Consortium (Edna Bay, AK). 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 John Mignone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Mignone accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John Mignone 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 John Mignone affiliated with any hospitals?

According to CMS data, John Mignone is affiliated with Swedish Medical Center / Cherry Hill, Swedish Edmonds Hospital, Swedish Medical Center, Tacoma General Allenmore Hospital and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for John Mignone was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.