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JONATHAN SPENCER GRIFFIN MD
NPI 1194988543
Family Medicine in Kailua, HI

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
1453 ONIONI ST, KAILUA, HI 96734(808) 797-1019 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2024, Mar 4, 2017 (2 updates tracked since 2017).

About Jonathan Spencer Griffin Md NPPES

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

JONATHAN SPENCER GRIFFIN MD (NPI 1194988543) is an individual family medicine provider in Kailua, Hawaii, licensed in Idaho (MR-1020) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2008).

NPPES Registry Identity

NPI1194988543
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN SPENCER GRIFFINCredential: MD
Location Address1453 ONIONI STKailua, HI 96734-3760
Mailing AddressPo Box 1379Kailua, HI 96734-1379 · (808) 797-1019
Phone(808) 797-1019
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2008
Enumeration DateJuly 7, 2008
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1194988543 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 · MR-1020
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.

1453 ONIONI ST, Kailua, HI 96734
Open in Google Maps ↗

Other Identifiers 2

Other12731Mt State License
OtherMD-22888-0HI · Hi State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, PacificSource Health Plans.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

Jonathan Spencer Griffin 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 ID8628249158
PECOS Enrollment IDI20240816002427
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
50 services46 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services18 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
15 services15 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services13 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96734 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES

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

HIHOUSECALL LLC
Clinic/Center
1453 ONIONI ST
KAILUA, HI 96734
Honolulu County (808) 797-1019

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 Jonathan Griffin's NPI number?

The NPI number for Jonathan Griffin is 1194988543. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Jonathan Griffin located?

Jonathan Griffin practices at 1453 Onioni St, Kailua, HI 96734. The listed phone number is (808) 797-1019.

What is Jonathan Griffin's specialty?

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

Is Jonathan Griffin enrolled in Medicare?

Yes. Jonathan Griffin 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 Jonathan Griffin accept?

Health plans from HMSA and PacificSource Health Plans list Jonathan Griffin 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 Jonathan Griffin was last updated on June 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.