RICHARD EDWIN JONES III MD
NPI 1174507800
Internal Medicine - Rheumatology in Northport, AL

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
92.31/100
CMS Quality Rating
4280 WATERMELON RD STE 112, NORTHPORT, AL 35473(205) 750-0030(205) 750-0855 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2023, Mar 12, 2019 (2 updates tracked since 2019).

About Richard Edwin Jones Iii Md NPPES

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

RICHARD EDWIN JONES III MD (NPI 1174507800) is an individual rheumatology provider in Northport, Alabama, licensed in Alabama (00019352) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1994).

NPPES Registry Identity

NPI1174507800
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameRICHARD EDWIN JONES IIICredential: MD
Location Address4280 WATERMELON RD STE 112Northport, AL 35473-5250
Mailing Address100 Towncenter Blvd, Ste 112Tuscaloosa, AL 35406-1833 · (205) 750-0030 · Fax (205) 750-0855
Fax(205) 750-0855
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1994
Enumeration DateDecember 6, 2005
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
NPI 1174507800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in AL · 00019352
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4280 WATERMELON RD STE 112, Northport, AL 35473

Other Identifiers 2

Medicaid529912100AL
Other51504044AL · Bcbs

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

Richard Edwin Jones Iii 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 ID5193789220
PECOS Enrollment IDI20041117000975
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 49

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
90,400 services37 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
87,024 services18 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
21,250 services39 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
18,480 services20 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
18,420 services202 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
10,830 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35473 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

92.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost74.39

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%127 patients
Documentation of Current Medications in the Medical Record
100%3,006 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,036 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,917 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%1,343 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,417 patients
Patients screened: 100% · 1,417 patients
97%161 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%816 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
100%544 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%22 patients5/55-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.

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.

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier11 claims660 services$34.60 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier14 claims18 services$61.62 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 9

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

Nurse Practitioner
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473
Nurse Practitioner (Family)
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473
Internal Medicine (Rheumatology)
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473
Nurse Practitioner (Family)
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473
Internal Medicine (Rheumatology)
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473
Nurse Practitioner (Family)
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473
Nurse Practitioner
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473
Nurse Practitioner
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473

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 Richard Jones's NPI number?

The NPI number for Richard Jones is 1174507800. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Richard Jones located?

Richard Jones practices at 4280 Watermelon Rd Ste 112, Northport, AL 35473. The listed phone number is (205) 750-0030.

What is Richard Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Richard Jones enrolled in Medicare?

Yes. Richard 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 Richard Jones accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Jones was last updated on January 20, 2023. 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.