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DR. SETH REUBEN JONES M.D.
NPI 1184704009
Plastic Surgery in Hyannis, MA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
26 GLEASON ST, HYANNIS, MA 02601(508) 771-8967 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Seth Reuben Jones M.d. NPPES

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

DR. SETH REUBEN JONES M.D. (NPI 1184704009) is an individual plastic surgery provider in Hyannis, Massachusetts, licensed in North Carolina (20010-00335) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of University Of Nevada School Of Medicine (2004).

NPPES Registry Identity

NPI1184704009
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. SETH REUBEN JONESCredential: M.D.
Location Address26 GLEASON STHyannis, MA 02601-5223
Mailing Address26 Gleason StHyannis, MA 02601-5223 · (508) 771-8967
Phone(508) 771-8967
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2004
Enumeration DateOctober 16, 2006
Last NPPES UpdateApril 15, 2014
✔ NPI 1184704009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NC · 20010-00335
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X · License UNKNOWN (WI)
26 GLEASON ST, Hyannis, MA 02601
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Seth Reuben 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 ID7517149107
PECOS Enrollment IDI20110728000474
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 5

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.

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.
52 services52 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.
37 services25 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
15 services14 patients
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603
This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.
12 services12 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
4%656 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
50%1,071 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%384 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
33%1,289 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
11%469 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
10%1,289 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,289 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 272 patients
0%272 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.

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.

CAPE AND ISLANDS PLASTIC SURGERY PC
Plastic Surgery
26 GLEASON ST
HYANNIS, MA 02601
Barnstable County (508) 771-8967
MICHELE A ELDREDGE NP
Nurse Practitioner
26 GLEASON ST, CAPE COD HOSPITAL OCCUPATIONAL HEALTH CENTER
HYANNIS, MA 02601
Barnstable County (508) 771-1800
KIMBERLY RIDDER WEDGE NP
Nurse Practitioner (Adult Health)
26 GLEASON ST, OCC HEALTH SERVICES
HYANNIS, MA 02601
Barnstable County (774) 552-6102
ROBERT P YOO MD PC
Surgery (Plastic and Reconstructive Surgery)
26 GLEASON ST
HYANNIS, MA 02601
Barnstable County (508) 771-8967
LEE OKUROWSKI M.D.
Preventive Medicine (Occupational Medicine)
26 GLEASON ST
HYANNIS, MA 02601
Barnstable County (508) 771-1800
DR. WILLIAM JOSEPH PEGG M.D.
Obstetrics & Gynecology
26 GLEASON ST
HYANNIS, MA 02601
Barnstable County (508) 771-4850
DR. MICHAEL ANTHONY LOFFREDO M.D.
Plastic Surgery
26 GLEASON ST
HYANNIS, MA 02601
Barnstable County (508) 771-8967
WILLAIM J PEGG, MD, PC
Obstetrics & Gynecology
26 GLEASON ST
HYANNIS, MA 02601
Barnstable County (507) 771-4850

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 1184704009. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Seth Jones located?

Seth Jones practices at 26 Gleason St, Hyannis, MA 02601. The listed phone number is (508) 771-8967.

What is Seth Jones's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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.

What insurance does Seth Jones accept?

Health plans from Anthem Blue Cross and Blue Shield list Seth 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 Seth Jones affiliated with any hospitals?

According to CMS data, Seth Jones is affiliated with Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for Seth Jones was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.