SETH JONES
NPI 1134855331
Nurse Practitioner - Family in Highlands Ranch, CO

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment
77.17/100
CMS Quality Rating
9088 RIDGELINE BLVD STE 201, HIGHLANDS RANCH, CO 80129(720) 383-8842 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Jul 29, 2022 (2 updates tracked since 2022).

About Seth Jones NPPES

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

SETH JONES (NPI 1134855331) is an individual family provider in Highlands Ranch, Colorado, licensed in Colorado (APN.0997787-NP) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134855331
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSETH JONES
Location Address9088 RIDGELINE BLVD STE 201Highlands Ranch, CO 80129-2380
Mailing Address8406 Basalt DrLittleton, CO 80125-8457
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 29, 2022
Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
NPI 1134855331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · APN.0997787-NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0997787-NP (CO)
9088 RIDGELINE BLVD STE 201, Highlands Ranch, CO 80129

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

Seth Jones 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 ID4486039666
PECOS Enrollment IDI20220924000249
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 9

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 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.
135 services97 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.
88 services80 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.
82 services80 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.
79 services79 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
52 services52 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
30 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80129 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

77.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.27
Promoting Interoperability81
Improvement Activities40
Cost59.47

Other Providers at the Same Location NPPES 9

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

Physician Assistant
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129
Internal Medicine
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129
Counselor (Professional)
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129
Internal Medicine
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129
Nurse Practitioner (Family)
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129
Social Worker (Clinical)
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129
Physician Assistant
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129
Internal Medicine
9088 RIDGELINE BLVD STE 201
HIGHLANDS RANCH, CO 80129

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 Seth Jones's NPI number?

The NPI number for Seth Jones is 1134855331. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Seth Jones located?

Seth Jones practices at 9088 Ridgeline Blvd Ste 201, Highlands Ranch, CO 80129. The listed phone number is (720) 383-8842.

What is Seth Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Seth Jones enrolled in Medicare?

Yes. Seth 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.

When was this NPI record last updated?

The NPPES record for Seth Jones was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.