DR. JOHN WARREN GRIFFIN
NPI 1346282415
Otolaryngology in Macon, GA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
89.3/100
CMS Quality Rating
540 HEMLOCK ST, MACON, GA 31201(478) 743-8953 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Warren Griffin NPPES

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

DR. JOHN WARREN GRIFFIN (NPI 1346282415) is an individual otolaryngology provider in Macon, Georgia, licensed in Georgia (045482) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of University Of Alabama School Of Medicine (1993).

NPPES Registry Identity

NPI1346282415
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHN WARREN GRIFFIN
Location Address540 HEMLOCK STMacon, GA 31201-3202
Mailing Address540 Hemlock StMacon, GA 31201-3202 · (478) 743-8953
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1993
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 18, 2008
NPI 1346282415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in GA · 045482
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

540 HEMLOCK ST, Macon, GA 31201

Other Identifiers 5

Other4330089-001GA · Cigna
Other727532GA · B/c B/s
Medicaid00791601AGA
Medicare UPING04136GA
Medicare PIN04BDBVPGA

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 Warren Griffin 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 ID4789871765
PECOS Enrollment IDI20101203000641
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 10

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.

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.
314 services251 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.
123 services123 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
112 services73 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
104 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
102 services102 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
97 services97 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

89.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.56
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
99%83 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
56%57 patients2/55-star benchmark: 100%
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
82%220 patients4/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
99%2,849 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%1,014 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
56%214 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Audiologist
540 HEMLOCK ST
MACON, GA 31201
Otolaryngology
540 HEMLOCK ST
MACON, GA 31201
Otolaryngology
540 HEMLOCK ST
MACON, GA 31201
Otolaryngology
540 HEMLOCK ST
MACON, GA 31201
Audiologist
540 HEMLOCK ST
MACON, GA 31201
Clinic/Center (Ambulatory Surgical)
540 HEMLOCK ST
MACON, GA 31201
Audiologist
540 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner
540 HEMLOCK ST
MACON, GA 31201

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 Griffin's NPI number?

The NPI number for John Griffin is 1346282415. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is John Griffin located?

John Griffin practices at 540 Hemlock St, Macon, GA 31201. The listed phone number is (478) 743-8953.

What is John Griffin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Griffin enrolled in Medicare?

Yes. John 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 John Griffin accept?

Health plans from Alliant Health Plans, Inc. list John 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.

Is John Griffin affiliated with any hospitals?

According to CMS data, John Griffin is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for John Griffin was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.