DR. JOHN F. BALFOUR M.D.
NPI 1649344110
Surgery in Honolulu, HI

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
86.2/100
CMS Quality Rating
888 S KING ST, HONOLULU, HI 96813(808) 522-4234(808) 522-4397 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John F. Balfour M.d. NPPES

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

DR. JOHN F. BALFOUR M.D. (NPI 1649344110) is an individual surgery provider in Honolulu, Hawaii, licensed in Hawaii (MD-1711) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Straub Clinic And Hospital, and is a graduate of Washington University School Of Medicine (1961).

NPPES Registry Identity

NPI1649344110
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN F. BALFOURCredential: M.D.
Location Address888 S KING STHonolulu, HI 96813-3009
Mailing Address888 S King St, Department Of SurgeryHonolulu, HI 96813-3097 · (808) 522-4234 · Fax (808) 522-4397
Fax(808) 522-4397
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1961
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 15, 2012
NPI 1649344110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in HI · MD-1711
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
888 S KING ST, Honolulu, HI 96813

Other Identifiers 5

Medicare ID-Type Unspecified54004HI
Other00X0032297HI · Hmsa
Other5380444HI · Uha
Medicare UPINC98372HI
Medicaid028929 01HI

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 F. Balfour 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 ID3971630500
PECOS Enrollment IDI20100429000956
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 2

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.
20 services18 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

86.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.28
Promoting Interoperability100
Improvement Activities40
Cost73.72

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.

Nurse Practitioner
888 S KING ST, DERMATOLOGY DEPARTMENT
HONOLULU, HI 96813
Internal Medicine (Critical Care Medicine)
888 S KING ST
HONOLULU, HI 96813
Psychiatry & Neurology (Neurology)
888 S KING ST
HONOLULU, HI 96813
Dermatology
888 S KING ST
HONOLULU, HI 96813
Emergency Medicine
888 S KING ST
HONOLULU, HI 96813
Physical Therapist
888 S KING ST
HONOLULU, HI 96813
Surgery (Vascular Surgery)
888 S KING ST
HONOLULU, HI 96813
Physical Therapist
888 S KING ST
HONOLULU, HI 96813

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 Balfour's NPI number?

The NPI number for John Balfour is 1649344110. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is John Balfour located?

John Balfour practices at 888 S King St, Honolulu, HI 96813. The listed phone number is (808) 522-4234.

What is John Balfour's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Balfour enrolled in Medicare?

Yes. John Balfour 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 Balfour accept?

Health plans from HMSA list John Balfour 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 Balfour affiliated with any hospitals?

According to CMS data, John Balfour is affiliated with Straub Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for John Balfour was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.