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DUSTIN JONES D.O.
NPI 1093254468
Otolaryngology - Facial Plastic Surgery in Middletown, OH

Active since February 18, 2017PECOS EnrolledAccepts Medicare Assignment
78.37/100
CMS Quality Rating
1055 SUMMITT DR, MIDDLETOWN, OH 45042(513) 420-4678(513) 420-4705 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Aug 26, 2022, Feb 18, 2017 (3 updates tracked since 2017).

About Dustin Jones D.o. NPPES

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

DUSTIN JONES D.O. (NPI 1093254468) is an individual facial plastic surgery provider in Middletown, Ohio, licensed in Illinois (036173330) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Ohio State University College Of Homeopathic Medicine (2017).

NPPES Registry Identity

NPI1093254468
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDUSTIN JONESCredential: D.O.
Location Address1055 SUMMITT DRMiddletown, OH 45042-3464
Mailing Address3170 Kettering Blvd Bldg BMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Phone(513) 420-4678
Fax(513) 420-4705
Sole ProprietorNo
Medical School CMSOhio State University College Of Homeopathic MedicineGraduated 2017
Enumeration DateFebruary 18, 2017
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1093254468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in IL · 036173330
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 036173330 (OH)
1055 SUMMITT DR, Middletown, OH 45042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Dustin 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 ID4284902453
PECOS Enrollment IDI20250717001035
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 10

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.
105 services81 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.
100 services100 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.
100 services85 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
89 services24 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
58 services43 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
55 services51 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

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.

78.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.63
Promoting Interoperability100
Improvement Activities40
Cost52.29

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MELINDA SPOFFORD LPN
Licensed Practical Nurse
1055 SUMMITT DR
MIDDLETOWN, OH 45042
Butler County (513) 432-6589
EAR NOSE AND THROAT SPECIALISTS OF MIDDLETOWN, INC
Clinic/Center (Medical Specialty)
1055 SUMMITT DR
MIDDLETOWN, OH 45042
Butler County (513) 423-6589
SHARON LYNNE FRITZ M.S., PA-C
Physician Assistant (Medical)
1055 SUMMITT DR
MIDDLETOWN, OH 45042
Butler County (513) 423-6589
SAMANTHA MARIE BUNGE AU.D.
Audiologist
1055 SUMMITT DR
MIDDLETOWN, OH 45042
Butler County (513) 475-8400

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 Dustin Jones's NPI number?

The NPI number for Dustin Jones is 1093254468. It was assigned to this individual provider in the NPPES registry on February 18, 2017.

Where is Dustin Jones located?

Dustin Jones practices at 1055 Summitt Dr, Middletown, OH 45042. The listed phone number is (513) 420-4678.

What is Dustin Jones's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Dustin Jones enrolled in Medicare?

Yes. Dustin 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.

What insurance does Dustin Jones accept?

Health plans from CareSource and MedMutual list Dustin 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.

Is Dustin Jones affiliated with any hospitals?

According to CMS data, Dustin Jones is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Dustin Jones was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.