DR. JOHN ROBERT GAVIN JR. M.D.
NPI 1336112416
Orthopaedic Surgery in Hilton Head, SC

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
5.95/100
CMS Quality Rating
15 MOSS CREEK VILLAGE, HILTON HEAD, SC 29926(843) 681-5077(843) 681-5012 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2022, Mar 31, 2018 (2 updates tracked since 2018).

About Dr. John Robert Gavin Jr. M.d. NPPES

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

DR. JOHN ROBERT GAVIN JR. M.D. (NPI 1336112416) is an individual orthopaedic surgery provider in Hilton Head, South Carolina, licensed in South Carolina (SC26650) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Hilton Head Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336112416
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN ROBERT GAVIN JR.Credential: M.D.
Location Address15 MOSS CREEK VILLAGEHilton Head, SC 29926-1105
Mailing Address15 Moss Creek VillageHilton Head, SC 29926-1105 · (843) 681-5077 · Fax (843) 681-5012
Fax(843) 681-5012
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1984
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
NPI 1336112416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SC · SC26650
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.
15 MOSS CREEK VILLAGE, Hilton Head, SC 29926

Secondary Practice Locations 2

Location 1149 Riverwalk BlvdRidgeland, SC 29936-8190 · Phone (843) 681-5077 · Fax (843) 681-5012
Location 215 Moss Creek VlgHilton Head, SC 29926-1105 · Phone (843) 836-7022 · Fax (843) 836-3077

Other Identifiers 1

Medicaid266508SC

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. John Robert Gavin Jr. 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 ID3072572973
PECOS Enrollment IDI20041102000775
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 24

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.

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.
901 services166 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.
408 services286 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.
351 services234 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.
173 services140 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
130 services125 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.
130 services130 patients

Hospital Affiliations CMS Care Compare 2

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

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

5.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost19.84

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier13 claims13 services$57.81 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 3

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

Clinic/Center (Urgent Care)
15 MOSS CREEK VILLAGE
HILTON HEAD, SC 29926
Radiology (Diagnostic Radiology)
15 MOSS CREEK VILLAGE
HILTON HEAD, SC 29926
Orthopaedic Surgery
15 MOSS CREEK VILLAGE
HILTON HEAD, SC 29926

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 Gavin's NPI number?

The NPI number for John Gavin is 1336112416. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is John Gavin located?

John Gavin practices at 15 Moss Creek Village, Hilton Head, SC 29926. The listed phone number is (843) 681-5077.

What is John Gavin's specialty?

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

Is John Gavin enrolled in Medicare?

Yes. John Gavin 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 John Gavin accept?

Health plans from BlueCross BlueShield of South Carolina list John Gavin 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 Gavin affiliated with any hospitals?

According to CMS data, John Gavin is affiliated with Hilton Head Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for John Gavin was last updated on July 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.