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DR. DEREK A JONES MD
NPI 1003897778
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Pensacola, FL

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
68.08/100
CMS Quality Rating
8333 N DAVIS HWY, MEDICAL CENTER CLINIC ENT DEPT, PENSACOLA, FL 32514(850) 474-8320(850) 474-8791 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek A Jones Md NPPES

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

DR. DEREK A JONES MD (NPI 1003897778) is an individual otolaryngology/facial plastic surgery provider in Pensacola, Florida, licensed in Florida (ME77298) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of Alabama School Of Medicine (1993).

NPPES Registry Identity

NPI1003897778
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. DEREK A JONESCredential: MD
Location Address8333 N DAVIS HWY, MEDICAL CENTER CLINIC ENT DEPTPensacola, FL 32514-6050
Mailing Address8333 N Davis HwyPensacola, FL 32514-6050 · (850) 474-8100 · Fax (850) 474-8083
Phone(850) 474-8320
Fax(850) 474-8791
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1993
Enumeration DateNovember 9, 2005
Last NPPES UpdateApril 19, 2012
✔ NPI 1003897778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in FL · ME77298
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License ME0077298 (FL)
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 22542 (AL)
8333 N DAVIS HWY, Pensacola, FL 32514
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Other Identifiers 1

Medicare UPING90329

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Derek A Jones Md 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 ID1355492323
PECOS Enrollment IDI20100217000453
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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
542 services323 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
122 services122 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
99 services40 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
99 services98 patients
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.
90 services72 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
76 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

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.

68.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.77
Improvement Activities40
Cost38.03

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.

DR. ETHAN MCCALEB GORE M.D.
Psychiatry & Neurology (Neurology)
8333 N DAVIS HWY
PENSACOLA, FL 32514
Escambia County (850) 474-8353
ASHLEIGH MARGARET CHRISTOPHER PA-C
Physician Assistant
8333 N DAVIS HWY
PENSACOLA, FL 32514
Escambia County (800) 874-4542
DR. KATHRYN GIULI BROWN AU.D.
Audiologist
8333 N DAVIS HWY
PENSACOLA, FL 32514
Escambia County (850) 347-4581
MELISSA KELLY BROWN APRN
Nurse Practitioner (Family)
8333 N DAVIS HWY
PENSACOLA, FL 32514
Escambia County (850) 474-8386
DR. KEVIN L WELCH MD
Dermatology
8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514
Escambia County (850) 474-8386
DR. JORGE M PELAEZ MD
Psychiatry & Neurology (Neurology)
8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514
Escambia County (850) 474-8353
TALIA CLAIRE TREMATERRA
Physical Therapist
8333 N DAVIS HWY
PENSACOLA, FL 32514
Escambia County (850) 969-2600
TIFFANY VOGLE AU.D.
Audiologist
8333 N DAVIS HWY
PENSACOLA, FL 32514
Escambia County (850) 474-8328

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 Derek Jones's NPI number?

The NPI number for Derek Jones is 1003897778. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Derek Jones located?

Derek Jones practices at 8333 N Davis Hwy Medical Center Clinic Ent Dept, Pensacola, FL 32514. The listed phone number is (850) 474-8320.

What is Derek Jones's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Derek Jones enrolled in Medicare?

Yes. Derek Jones 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 Derek Jones accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Derek Jones 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 Derek Jones affiliated with any hospitals?

According to CMS data, Derek Jones is affiliated with Sacred Heart Hospital and Hca Florida West Hospital.

When was this NPI record last updated?

The NPPES record for Derek Jones was last updated on April 19, 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.