DR. JACK W GRIFFITH III DO
NPI 1407884315
Dermatology in Rancho Cucamonga, CA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8273 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730(909) 948-8888(909) 948-8839 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jack W Griffith Iii Do NPPES

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

DR. JACK W GRIFFITH III DO (NPI 1407884315) is an individual dermatology provider in Rancho Cucamonga, California, licensed in California (20A9405) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1407884315
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JACK W GRIFFITH IIICredential: DO
Location Address8273 WHITE OAK AVERancho Cucamonga, CA 91730-7671
Mailing Address8273 White Oak AveRancho Cucamonga, CA 91730-7671 · (909) 948-8888 · Fax (909) 948-8839
Fax(909) 948-8839
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1407884315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · 20A9405
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 20A9405 (CA)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 20A9405 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A9405 (CA)
8273 WHITE OAK AVE, Rancho Cucamonga, CA 91730

Other Identifiers 1

Medicaid00AX94050CA

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. Jack W Griffith Iii Do 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 ID2062425721
PECOS Enrollment IDI20060802000242
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 36

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
6,000 services27 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,458 services563 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.
843 services482 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
714 services489 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
706 services118 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.
586 services404 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Home Health
8273 WHITE OAK AVE, SUITE 110
RANCHO CUCAMONGA, CA 91730
Hospice Care, Community Based
8273 WHITE OAK AVE, SUITE 120
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
8273 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

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 Jack Griffith's NPI number?

The NPI number for Jack Griffith is 1407884315. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Jack Griffith located?

Jack Griffith practices at 8273 White Oak Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 948-8888.

What is Jack Griffith's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jack Griffith enrolled in Medicare?

Yes. Jack Griffith 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.

When was this NPI record last updated?

The NPPES record for Jack Griffith was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.