DR. MICHAEL E JONES M.D.
NPI 1083611636
Internal Medicine - Gastroenterology in Crestview Hills, KY

Q: What is Michael Jones's NPI number?

The NPI number for Michael Jones is 1083611636. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Michael Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Jones was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 28, 2005PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017(859) 341-3575(859) 341-5701 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Michael E Jones M.d. NPPES

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

DR. MICHAEL E JONES M.D. (NPI 1083611636) is an individual gastroenterology provider in Crestview Hills, Kentucky, licensed in Kentucky (34243) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1083611636

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MICHAEL E JONESCredential: M.D.

Location Address425 CENTRE VIEW BLVDCrestview Hills, KY 41017-3409

Mailing Address425 Centre View BlvdCrestview Hills, KY 41017-3409 · (859) 341-3575 · Fax (859) 341-5701

Phone(859) 341-3575

Fax(859) 341-5701

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJune 28, 2005

Last NPPES UpdateAugust 25, 2017

✔ NPI 1083611636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in KY · 34243

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

425 CENTRE VIEW BLVD, Crestview Hills, KY 41017

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Other Identifiers 7

OtherP00002551Medicare Railroad

Medicare PIN1349107KY

Medicaid200306320IN

Medicare UPINH80533KY

Medicaid2443369OH

Other00000076867Anthem

Medicaid64062490KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Michael E 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 ID6305989856

PECOS Enrollment IDI20100205000085

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 Reassignment

Medicare enrollment records show Michael Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-State Gastroenterology Associates, Psc

Same address

Clinic/Center

425 CENTRE VIEW BLVD
Crestview Hills, KY 41017

Reassigned Medicare billing, Kentucky enrollment
18 clinicians in this Medicare group

NPI 1306843842 (859) 341-3575

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 11

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

203 services200 patients

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.

154 services118 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

142 services133 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.

81 services71 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

75 services72 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

59 services24 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150086

Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County

Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180001

Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County

Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY

OwnershipVoluntary non-profit - Church

CMS Certification Number181311

Location238 Barnes RoadWilliamstown, KY 41097 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

90.38/100

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

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

DR. JORDAN REDFIELD MD

Internal Medicine (Gastroenterology)