PETER JOHN JONES M.D.
NPI 1164518908
Urology in Pocatello, ID

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-2724 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter John Jones M.d. NPPES

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

PETER JOHN JONES M.D. (NPI 1164518908) is an individual urology provider in Pocatello, Idaho, licensed in New Hampshire (1618) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Duke University School Of Medicine (2006).

NPPES Registry Identity

NPI1164518908
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePETER JOHN JONESCredential: M.D.
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing Address777 Hospital WayPocatello, ID 83201-5175
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2006
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 19, 2012
NPI 1164518908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NH · 1618
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
777 HOSPITAL WAY, Pocatello, ID 83201

Accepted 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

Peter John 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 ID7517119464
PECOS Enrollment IDI20121129000108
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 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.

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.
378 services302 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
75 services64 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.
75 services64 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.
69 services69 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
30 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Power County Hospital District

Critical Access Hospitals · American Falls, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131304
Location510 Roosevelt StreetAmerican Falls, ID 83211 · Power County
Emergency services

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID
OwnershipGovernment - Local
CMS Certification Number131309
Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County
Emergency services

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers50 claims6,222 services$1.37 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers15 claims1,050 services$6.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201

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 Peter Jones's NPI number?

The NPI number for Peter Jones is 1164518908. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Peter Jones located?

Peter Jones practices at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-2724.

What is Peter Jones's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Peter Jones enrolled in Medicare?

Yes. Peter 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 Peter Jones accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Peter 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 Peter Jones affiliated with any hospitals?

According to CMS data, Peter Jones is affiliated with Portneuf Medical Center, Mountain View Hospital, Power County Hospital District, Caribou Medical Center and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Peter Jones was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.