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DR. JAMES F. SCOGGIN III M.D.
NPI 1871626366
Orthopaedic Surgery in Honolulu, HI

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
1441 KAPIOLANI BLVD STE 1320, HONOLULU, HI 96814(808) 772-4988(855) 414-7085 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James F. Scoggin Iii M.d. NPPES

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

DR. JAMES F. SCOGGIN III M.D. (NPI 1871626366) is an individual orthopaedic surgery provider in Honolulu, Hawaii, licensed in Hawaii (MD-7613) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1985).

NPPES Registry Identity

NPI1871626366
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES F. SCOGGIN IIICredential: M.D.
Location Address1441 KAPIOLANI BLVD STE 1320Honolulu, HI 96814-4406
Mailing Address1441 Kapiolani Blvd Ste 1320Honolulu, HI 96814-4406 · (808) 772-4988 · Fax (855) 414-7085
Phone(808) 772-4988
Fax(855) 414-7085
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1985
Enumeration DateMarch 13, 2007
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1871626366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in HI · MD-7613
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.
1441 KAPIOLANI BLVD STE 1320, Honolulu, HI 96814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. James F. Scoggin Iii 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 ID7810966199
PECOS Enrollment IDI20041004000059
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.

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.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
10%256 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%47 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%134 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%137 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%256 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 64 patients
0%64 patients
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

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

ORTHOPAEDIC SPECIALISTS HAWAII LLC
Orthopaedic Surgery
1441 KAPIOLANI BLVD STE 1320
HONOLULU, HI 96814
Honolulu County (808) 772-4988

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 James Scoggin's NPI number?

The NPI number for James Scoggin is 1871626366. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is James Scoggin located?

James Scoggin practices at 1441 Kapiolani Blvd Ste 1320, Honolulu, HI 96814. The listed phone number is (808) 772-4988.

What is James Scoggin's specialty?

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

Is James Scoggin enrolled in Medicare?

Yes. James Scoggin 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 James Scoggin accept?

Health plans from HMSA list James Scoggin 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.

When was this NPI record last updated?

The NPPES record for James Scoggin was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.