DR. GRIFFIN JAMES JARDINE (M.D.) – Ophthalmology Physician, NPI 1811280787

DR. GRIFFIN JAMES JARDINE (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in PEDIATRIC MEDICINE, OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 9674506-1205 (UT). The NPI Number for DR. GRIFFIN JAMES JARDINE (M.D.) is 1811280787

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRIFFIN JAMES JARDINE (M.D.)
NPI
1811280787
Phone
(801) 484-0890
Address
2336 S 2100 E
Enumeration Date
25 May 2011
Last Update Date
21 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8015812352
Graduation Year
2011 (15 years ago)
PAC ID
7810142387
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20160613001067
Address ID
UT841320005SA65XXXDRXX500

Contacts

Secure Messaging
gjardine205974@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

298 PEDIATRIC MEDICINE in OR

Provider Addresses for DR. GRIFFIN JAMES JARDINE (M.D.)

  • 2336 S 2100 E

    SALT LAKE CITY, UT 841091515

    Phone: (801) 484-0890

    Type: Mailing

  • 1015 NW 22ND AVENUE

    PORTLAND, OR 97227

    Phone: (503) 413-4692

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160613001067IPediatric MedicineUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92060Exam to measure eye deviation and range of motion3831$0
99213Established patient office or other outpatient visit, 20-29 minutes2723$0
99214Established patient office or other outpatient visit, 30-39 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 84109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

How is DR. GRIFFIN JAMES JARDINE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. GRIFFIN JAMES JARDINE (M.D.) with NPI 1811280787.
Does CMS list DR. GRIFFIN JAMES JARDINE (M.D.) as active?
Yes — DR. GRIFFIN JAMES JARDINE (M.D.) is active in the NPI listing used on this page.
What is DR. GRIFFIN JAMES JARDINE (M.D.)'s primary classification?
Ophthalmology Physician is the headline specialty for DR. GRIFFIN JAMES JARDINE (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. GRIFFIN JAMES JARDINE (M.D.)?
DR. GRIFFIN JAMES JARDINE (M.D.)'s geographic hint is Salt Lake City, Utah in our summary view.
Why does DR. GRIFFIN JAMES JARDINE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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