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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SARA LONG JONES M.D.
NPI 1053756809
Internal Medicine in Huntsville, AL

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
4101 BALMORAL DR SW STE B, HUNTSVILLE, AL 35801(256) 203-3949(833) 979-0980 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Jun 3, 2019, Mar 18, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Sara Long Jones M.d. NPPES

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

DR. SARA LONG JONES M.D. (NPI 1053756809) is an individual internal medicine provider in Huntsville, Alabama, licensed in Alabama (33902) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2013).

NPPES Registry Identity

NPI1053756809
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SARA LONG JONESCredential: M.D.
Location Address4101 BALMORAL DR SW STE BHuntsville, AL 35801-6535
Mailing Address4101 Balmoral Dr Sw Ste BHuntsville, AL 35801-6535 · (256) 203-3949 · Fax (833) 979-0980
Phone(256) 203-3949
Fax(833) 979-0980
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateOctober 5, 20266 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1053756809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 33902
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4101 BALMORAL DR SW STE B, Huntsville, AL 35801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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 and accepts Medicare assignment

Dr. Sara Long Jones M.d. 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 ID5991928061
PECOS Enrollment IDI20160812001696
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

5

Medicare enrollment records show Sara Jones reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gmuc Of Citronelle LLC
266 mi
Family Medicine
19355 N 3RD ST, SUITE 104
Citronelle, AL 36522
  • Reassigned Medicare billing, Alabama enrollment
  • 59 clinicians in this Medicare group
NPI 1164794343 (251) 633-0123
Gmuc Of Saraland
282 mi
Family Medicine
1114 SHELTON BEACH RD
Saraland, AL 36571
  • Reassigned Medicare billing, Alabama enrollment
  • 54 clinicians in this Medicare group
NPI 1396161758 (251) 633-0123
Greater Mobile Urgent Care
287 mi
Family Medicine
7943 MOFFETT RD
Semmes, AL 36575
  • Reassigned Medicare billing, Alabama enrollment
  • 92 clinicians in this Medicare group
NPI 1275848095 (251) 633-0123
Gmuc Of Springhill LLC
290 mi
Family Medicine
4402 OLD SHELL RD
Mobile, AL 36608
  • Reassigned Medicare billing, Alabama enrollment
  • 90 clinicians in this Medicare group
NPI 1952617508 (251) 633-0123
Alabama Providence Healthcare Services
292 mi
Family Medicine
18317 US HWY 90
Robertsdale, AL 36567
  • Reassigned Medicare billing, Alabama enrollment
  • 102 clinicians in this Medicare group
NPI 1174952261 (251) 947-2000

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 6

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.
120 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
115 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%249 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
44%63 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%2,914 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
49%721 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%320 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%547 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
67%544 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%547 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%547 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%547 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MAGNOLIA PRIMARY CARE LLC
Internal Medicine
4101 BALMORAL DR SW STE B
HUNTSVILLE, AL 35801
Madison County (256) 203-6676
JENNIFER RYDER NP-C
Nurse Practitioner (Family)
4101 BALMORAL DR SW STE B
HUNTSVILLE, AL 35801
Madison County (256) 599-8397

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 Sara Jones's NPI number?

The NPI number for Sara Jones is 1053756809. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Sara Jones located?

Sara Jones practices at 4101 Balmoral Dr SW Ste B, Huntsville, AL 35801. The listed phone number is (256) 203-3949.

What is Sara Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sara Jones enrolled in Medicare?

Yes. Sara 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 Sara Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Jones reassigns Medicare benefits to 5 organizations: Gmuc Of Citronelle LLC (Citronelle, AL), Gmuc Of Saraland (Saraland, AL), Greater Mobile Urgent Care (Semmes, AL), Gmuc Of Springhill LLC (Mobile, AL) and Alabama Providence Healthcare Services (Robertsdale, AL). 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 Sara Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Jones accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Sara 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 Sara Jones was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.