LISA MARSHA JONES MD
NPI 1205990520
Internal Medicine - Gastroenterology in Weston, WI

Q: What is Lisa Jones's NPI number?

The NPI number for Lisa Jones is 1205990520. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is Lisa Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jones was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment

3501 CRANBERRY BLVD, WESTON, WI 54476(715) 393-1000 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Jan 8, 2021, Jan 11, 2019 and 1 more (4 updates tracked since 2015).

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About Lisa Marsha Jones Md NPPES

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

LISA MARSHA JONES MD (NPI 1205990520) is an individual gastroenterology provider in Weston, Wisconsin, licensed in Wisconsin (62737) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205990520

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameLISA MARSHA JONESCredential: MD

Location Address3501 CRANBERRY BLVDWeston, WI 54476-5213

Mailing Address5032 Saint Annes DrMiddleton, WI 53597-8826 · (608) 829-5485

Phone(715) 393-1000

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2006

Enumeration DateDecember 21, 2006

Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1205990520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WI · 62737

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3501 CRANBERRY BLVD, Weston, WI 54476

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Secondary Practice Locations 2

Location 11050 Reid Pkwy Ste 110Richmond, IN 47374-1156 · Phone (765) 935-8923

Location 2750 University RowMadison, WI 53705 · Phone (608) 890-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

Lisa Marsha Jones 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 ID9436205648

PECOS Enrollment IDI20241008000721, I20250211002101, I20260107002944, I20260330002977

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 8

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

56 services56 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

45 services44 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

28 services28 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.

21 services18 patients

Study of rectum sensitivity and function 91122

This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.

15 services15 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Holland Community Hospital

Acute Care Hospitals · Holland, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230072

Location602 Michigan AveHolland, MI 49423 · Ottawa County

Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390222

Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

J F HERBERT R MACALALAD MD

Internal Medicine