NIKKI L JONES MD
NPI 1073072807
Family Medicine in Bryan, TX

Q: What is Nikki Jones's NPI number?

The NPI number for Nikki Jones is 1073072807. It was assigned to this individual provider in the NPPES registry on March 19, 2019. The provider is also known as Nikki L Jones MD.

Q: What is Nikki Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nikki Jones was last updated on June 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment

73.1/100

CMS Quality Rating

2900 E 29TH ST STE 100, BRYAN, TX 77802(979) 436-0485 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2019, Mar 19, 2019 (2 updates tracked since 2019).

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About Nikki L Jones Md NPPES

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

NIKKI L JONES MD (NPI 1073072807) is an individual family medicine provider in Bryan, Texas, licensed in Texas (S9533) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073072807

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNIKKI L JONESCredential: MD

Location Address2900 E 29TH ST STE 100Bryan, TX 77802-2623

Mailing Address6300 Regional Plz, Ste 1675Abilene, TX 79606-5251 · (325) 670-2255 · Fax (855) 392-3019

Phone(979) 436-0485

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 19, 2019

Last NPPES UpdateJune 22, 20222 updates tracked since enumeration

NPPES CertifiedJune 22, 2022

✔ NPI 1073072807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · S9533

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2900 E 29TH ST STE 100, Bryan, TX 77802

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Other Names 1

Other Name (5)Nikki L Jones Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Nikki L 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 ID749611309

PECOS Enrollment IDI20220705000108

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 8

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.

234 services120 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.

52 services43 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.

35 services35 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

29 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

22 services22 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450229

Location1900 PineAbilene, TX 79601 · Taylor County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77802 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

73.1/100

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

Scored as part of a group practice

Quality

63.26

Promoting Interoperability

100

Improvement Activities

Cost

47.09

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%218 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

65%110 patients3/55-star benchmark: 100%

Breast Cancer Screening

62%264 patients3/55-star benchmark: 93%

Cervical Cancer Screening

51%554 patients3/55-star benchmark: 98%

Chlamydia Screening for Women

32%202 patients

Closing the Referral Loop: Receipt of Specialist Report

46%569 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

46%497 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

67%287 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

16%135 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

46%135 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,004 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

29%233 patients2/55-star benchmark: 100%

HIV Screening

9%1,021 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

32%1,130 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

5%919 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%1,848 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 84% · 943 patients

Patients screened: 96% · 943 patients

25%145 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84%236 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 254 patients

Patients totalRate: 16% · 256 patients

14%256 patients3/55-star benchmark: 100%

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.

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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.

JUSTIN MARKWORDT DO

Student in an Organized Health Care Education/Training Program