DR. ARTHUR JONES D.O.
NPI 1053323980
Obstetrics & Gynecology - Obstetrics in Middletown, NY

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7575(845) 333-4663 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2022, Apr 8, 2022, Jun 15, 2021 and 1 more (4 updates tracked since 2015).

About Dr. Arthur Jones D.o. NPPES

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

DR. ARTHUR JONES D.O. (NPI 1053323980) is an individual obstetrics provider in Middletown, New York, licensed in Virginia (0102202955) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1053323980
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. ARTHUR JONESCredential: D.O.
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-7575 · Fax (845) 333-4663
Fax(845) 333-4663
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateAugust 12, 2006
Last NPPES UpdateDecember 8, 20224 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1053323980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in VA · 0102202955
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License H72740 (MD), C2-0008251 (DE), 262290 (NY), 200500735 (NC)
707 E MAIN ST, Middletown, NY 10940

Secondary Practice Locations 3

Location 120486 Market StreetOnancock, VA 23417 · Phone (757) 302-2700 · Fax (757) 787-9262
Location 2100 Rawlins Drive, second floorSeaford, DE 19973 · Phone (302) 629-8977
Location 368 Harris Bushville RdHarris, NY 12742 · Phone (845) 333-8909 · Fax (845) 397-3506

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arthur Jones D.o. 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 ID345346250
PECOS Enrollment IDI20070509000095, I20081030000634
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Arthur Jones reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
500 UPPER CHESAPEAKE DR
Bel Air, MD 21014
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 45 clinicians in this Medicare group
Obstetrics & Gynecology
640 S STATE ST
Dover, DE 19901
  • Reassigned Medicare billing, Delaware enrollment
  • 35 clinicians in this Medicare group
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
Obstetrics & Gynecology
801 MIDDLEFORD RD
Seaford, DE 19973
  • Reassigned Medicare billing, Delaware enrollment
  • 27 clinicians in this Medicare group
Family Medicine
801 MIDDLEFORD RD
Seaford, DE 19973
  • Reassigned Medicare billing, Delaware enrollment
  • 179 clinicians in this Medicare group
Obstetrics & Gynecology
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 27 clinicians in this Medicare group
Medical Specialty
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 531 clinicians in this Medicare group
Rural Health
511 RUIN CREEK RD STE 101
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 178 clinicians in this Medicare group
Anesthesiology
1010 COLLEGE ST
Oxford, NC 27565
  • Reassigned Medicare billing, North Carolina enrollment
  • 91 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

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.

Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Emergency Medicine
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940

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 Arthur Jones's NPI number?

The NPI number for Arthur Jones is 1053323980. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Arthur Jones located?

Arthur Jones practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7575.

What is Arthur Jones's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Arthur Jones enrolled in Medicare?

Yes. Arthur 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.

Which organizations bill Medicare for Arthur Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Jones reassigns Medicare benefits to 10 organizations: Obhg Maryland PC (Bel Air, MD), Ob Hospitalist Services Delaware PA (Dover, DE), Medstar Medical Group II LLC (Baltimore, MD), Dhp Of Delaware, Inc. (Seaford, DE), Tidalhealth Physician Network, Inc. (Seaford, DE) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arthur Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arthur Jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 6 other insurers list Arthur 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.

When was this NPI record last updated?

The NPPES record for Arthur Jones was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.