PHILLIP E. JONES MD
NPI 1043235401
Internal Medicine - Interventional Cardiology in Sebring, FL

Q: What is Phillip Jones's NPI number?

The NPI number for Phillip Jones is 1043235401. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Phillip Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Jones was last updated on July 2, 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.

Active since July 13, 2006PECOS Enrolled

94.93/100

CMS Quality Rating

4240 SUN N LAKE BLVD, SUITE 202, SEBRING, FL 33872(863) 471-3926(863) 385-3093 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Phillip E. Jones Md NPPES

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

PHILLIP E. JONES MD (NPI 1043235401) is an individual interventional cardiology provider in Sebring, Florida, licensed in Florida (ME107993) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043235401

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NamePHILLIP E. JONESCredential: MD

Location Address4240 SUN N LAKE BLVD, SUITE 202Sebring, FL 33872-1944

Mailing Address4240 Sun N Lake Blvd, Suite 202Sebring, FL 33872-1944 · (863) 471-3926 · Fax (863) 385-3093

Phone(863) 471-3926

Fax(863) 385-3093

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 2, 2012

✔ NPI 1043235401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in FL · ME107993

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

4240 SUN N LAKE BLVD, Sebring, FL 33872

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Other Identifiers 4

Medicare PIN8864821FL

Medicare UPINC84776FL

Medicare UPINC84776

Medicaid8477986FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip E. Jones Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

34 services32 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

21 services21 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

17 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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.

94.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.03

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

SURGICAL CENTER AT SUN N LAKE L L C

Clinic/Center (Ambulatory Surgical)

4240 SUN N LAKE BLVD, SUITE 100
SEBRING, FL 33872

Highlands County (863) 382-2622

THOMAS SHIMSHAK M.D.

Internal Medicine (Interventional Cardiology)

4240 SUN N LAKE BLVD, SUITE 202
SEBRING, FL 33872

Highlands County (863) 471-3926

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 Phillip Jones's NPI number?

The NPI number for Phillip Jones is 1043235401. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Phillip Jones located?

Phillip Jones practices at 4240 Sun N Lake Blvd Suite 202, Sebring, FL 33872. The listed phone number is (863) 471-3926.

What is Phillip Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Phillip Jones enrolled in Medicare?

Yes. Phillip Jones is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Jones was last updated on July 2, 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.