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DR. DOUGLAS JEROME WAFFEN M.D.
NPI 1609858794
Emergency Medicine in Tripler Amc, HI

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER AMC, HI 96859(808) 433-2460(808) 433-1558 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2022, Sep 3, 2019, Feb 1, 2019 (3 updates tracked since 2019).

About Dr. Douglas Jerome Waffen M.d. NPPES

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

DR. DOUGLAS JEROME WAFFEN M.D. (NPI 1609858794) is an individual emergency medicine provider in Tripler Amc, Hawaii, licensed in Hawaii (11266) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with North Hawaii Community Hospital, Inc, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1609858794
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DOUGLAS JEROME WAFFENCredential: M.D.
Location Address1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTERTripler Amc, HI 96859-5001
Mailing Address1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qsTripler Amc, HI 96859-5001 · (808) 433-2460 · Fax (808) 433-1558
Phone(808) 433-2460
Fax(808) 433-1558
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1998
Enumeration DateNovember 15, 2005
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1609858794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in HI · 11266✔ Licensed in IN · 01080608A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 JARRETT WHITE RD, Tripler Amc, HI 96859
Open in Google Maps ↗

Secondary Practice Locations 10

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166
Location 24000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 3100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 46147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410
Location 51141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 63535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 78701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 8450 Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 456-8376
Location 91997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228
Location 10405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Douglas Jerome Waffen 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 ID3173530912
PECOS Enrollment IDI20060320000271
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120028
Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County
Emergency services Birthing friendly

Hale Ho'ola Hamakua

Critical Access Hospitals · Honokaa, HI
OwnershipGovernment - State
CMS Certification Number121307
Location45-547 Plumeria StreetHonokaa, HI 96727 · Hawaii County
Emergency services

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

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 Douglas Waffen's NPI number?

The NPI number for Douglas Waffen is 1609858794. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Douglas Waffen located?

Douglas Waffen practices at 1 Jarrett White Rd Tripler Army Medical Center, Tripler Amc, HI 96859. The listed phone number is (808) 433-2460.

What is Douglas Waffen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Waffen enrolled in Medicare?

Yes. Douglas Waffen 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 Douglas Waffen accept?

Health plans from CareSource list Douglas Waffen 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 Douglas Waffen affiliated with any hospitals?

According to CMS data, Douglas Waffen is affiliated with North Hawaii Community Hospital, Inc, Hale Ho'ola Hamakua and Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Waffen was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.