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KAREN JONES
NPI 1053386615
Orthopaedic Surgery in Lincolnton, NC

Active since February 17, 2006PECOS Enrolled
441 MCALISTER RD, SUITE 1100A, LINCOLNTON, NC 28092(980) 212-6250 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2018, Oct 24, 2018, Oct 18, 2018 and 3 more (6 updates tracked since 2017).

About Karen Jones NPPES

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

KAREN JONES (NPI 1053386615) is an individual orthopaedic surgery provider in Lincolnton, North Carolina, licensed in North Carolina (9500961) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053386615
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameKAREN JONES
Location Address441 MCALISTER RD, SUITE 1100ALincolnton, NC 28092-4126
Mailing Address441 Mcalister RdLincolnton, NC 28092-4126
Phone(980) 212-6250
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateNovember 8, 20186 updates tracked since enumeration
✔ NPI 1053386615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 9500961
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
441 MCALISTER RD, Lincolnton, NC 28092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Jones 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harnett Health System Inc
123 mi
Family Medicine
1619 BUFFALO LAKE RD
Sanford, NC 27332
  • Reassigned Medicare billing, North Carolina enrollment
  • 63 clinicians in this Medicare group
NPI 1457957938 (910) 343-3435
Columbus Regional Healthcare System
163 mi
General Acute Care Hospital
500 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 187 clinicians in this Medicare group
NPI 1376537555 (910) 642-8011

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28092 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

ALDEN HENRY REINE JR. MD
Urology
441 MCALISTER RD, STE 1200
LINCOLNTON, NC 28092
Lincoln County (980) 212-6200
JANA CHANTAE SHERRILL RDN
Dietitian, Registered
441 MCALISTER RD
LINCOLNTON, NC 28092
Lincoln County (980) 212-6046
HENRY FLEISHMAN
Surgery
441 MCALISTER RD, SUITE 2100
LINCOLNTON, NC 28092
Lincoln County (980) 212-6250
MARGO A. ASWAD M.D.
Surgery
441 MCALISTER RD, SUITE 2400
LINCOLNTON, NC 28092
Lincoln County (704) 735-0511
ASWAD SURGICAL GROUP, PC
Surgery
441 MCALISTER RD, SUITE 2400
LINCOLNTON, NC 28092
Lincoln County (704) 735-0511
JOSEPH ALFRED VENEZIANO JR. M.D.
Orthopaedic Surgery
441 MCALISTER RD, SUITE 1100A
LINCOLNTON, NC 28092
Lincoln County (980) 212-6250
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Psychiatry & Neurology (Neurology)
441 MCALISTER RD, STE 2200
LINCOLNTON, NC 28092
Lincoln County (980) 212-6652
ERNEST EVANS
Surgery
441 MCALISTER RD, SUITE 2100
LINCOLNTON, NC 28092
Lincoln County (980) 212-6250

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 Karen Jones's NPI number?

The NPI number for Karen Jones is 1053386615. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Karen Jones located?

Karen Jones practices at 441 Mcalister Rd Suite 1100A, Lincolnton, NC 28092. The listed phone number is (980) 212-6250.

What is Karen Jones's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Karen Jones enrolled in Medicare?

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

Which organizations bill Medicare for Karen Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Jones reassigns Medicare benefits to 2 organizations: Harnett Health System Inc (Sanford, NC) and Columbus Regional Healthcare System (Whiteville, NC). 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 Karen Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Jones accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Karen 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 Karen Jones was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.