Active NPI 1649344110 Individual Practitioner Male Practitioner

Dr. John F. Balfour , MD

Surgery • Honolulu, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Balfour, MD is a certified Surgery practicing in Honolulu, HI. With approximately 65 years of clinical experience since graduating from Washington University School Of Medicine in 1961, Dr. Balfour delivers high-quality medical care to the local community at 888 S KING ST.

Dr. Balfour is affiliated with Straub Clinic And Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

888 S King St

Honolulu, HI 968133009

Telephone 8085224234

Fax 8085224397

Associated Practice Facility / Clinic

🏢 Straub Clinic & Hospital Facility NPI 1578536454

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1961

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Honolulu, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

65 Yrs +43.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

96 Specialists

Practicing in Honolulu, HI (157 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balfour (65 Years) 65 Yrs

Honolulu Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$114.70	$65.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$152.11	$79.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$116.58	$67.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$165.68	$84.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$123.34	$69.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$146.00	$86.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$115.35	$68.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$142.67	$87.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$97.00	$54.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$289.64	$125.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$99.17	$51.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$46.92	$25.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$167.00	$78.59
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$117.71	$52.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$304.64	$87.76
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$68.00	$27.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$100.18	$51.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	27	$40.64	$25.70
99201 New patient office or other outpatient visit, typically 10 minutes	16	16	$72.81	$26.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$270.43	$123.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$181.62	$73.23
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$119.00	$51.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	42	$96.91	$52.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	31	$36.00	$26.03
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$125.42	$51.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$276.78	$122.80

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License HI MD-1711

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

028929 01 (HI)

Commercial Insurance / Payer ID Uha

5380444 (HI)

Commercial Insurance / Payer ID Hmsa

00X0032297 (HI)

Hospital & Practice Group Affiliations

Straub Clinic And Hospital

888 S King St, Honolulu, HI 968133097

Phone: 8085224000

Straub Clinic And Hospital

888 S King St, Honolulu, HI 968133097

Phone: 8085224000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Andrew Baldwin , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1437440179

Doctor of Medicine (M.D.)

Dr. Andrew Montemayor , MD

Physical Medicine & Rehabilitation

NPI 1487731063

Doctor of Medicine (M.D.)

Dr. Ayman Abdul-Ghani , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1548449218

Doctor of Medicine (M.D.)

Simon Che

Surgery

NPI 1962938449

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2012

Registered at 888 S KING ST, HONOLULU, HI 968133009 (Tel: 8085224234)

📍

Updated Business Mailing Address March 15, 2012

Registered at 888 S KING ST, DEPARTMENT OF SURGERY, HONOLULU, HI 968133097 (Tel: 8085224234)

👤

Provider Name / Credentials Updated March 15, 2012

Recorded as JOHN BALFOUR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2012

Surgery (License #MD-1711 in HI)

🟢

Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649344110

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2006

Last Update: March 15, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

888 S King St, Department Of Surgery

Honolulu, HI 968133097

Phone: 8085224234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.