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MARK GREGORY JONES M.D.
NPI 1215165303
Surgery in Covington, LA

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
728 W 11TH AVE, COVINGTON, LA 70433(985) 892-3766(985) 893-9567 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2026, Mar 16, 2016 (2 updates tracked since 2016).

About Mark Gregory Jones M.d. NPPES

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

MARK GREGORY JONES M.D. (NPI 1215165303) is an individual surgery provider in Covington, Louisiana, licensed in Louisiana (207336) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2009).

NPPES Registry Identity

NPI1215165303
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARK GREGORY JONESCredential: M.D.
Location Address728 W 11TH AVECovington, LA 70433-2318
Mailing AddressPo Box 669379Dallas, TX 75266-9379 · (985) 898-3740 · Fax (985) 898-3739
Phone(985) 892-3766
Fax(985) 893-9567
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2009
Enumeration DateJune 26, 2009
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1215165303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 207336
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
728 W 11TH AVE, Covington, LA 70433
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Other Identifiers 1

Other207336LA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Gregory 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 ID7113175803
PECOS Enrollment IDI20141201001798
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Tammany Parish Hospital Service District No 1
Same address
Specialist
728 W 11TH AVE
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • Also billed through NPI 1598798597 (Louisiana)
  • 70 clinicians in this Medicare group
NPI 1538579032 (985) 892-3766
Our Lady Of The Angels Hospital, Inc.
26 mi
General Acute Care Hospital
433 PLAZA ST
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 129 clinicians in this Medicare group
NPI 1912334533 (985) 730-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
103 services48 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.
65 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
60 services57 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.
49 services45 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
20 services20 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Our Lady Of The Angels Hospital

Acute Care Hospitals · Bogalusa, LA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190312
Location433 Plaza StreetBogalusa, LA 70427 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 11

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

MRS. ANNE KYTE THIEL FNP-BC
Nurse Practitioner (Family)
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (985) 892-3766
DR. SUSAN F OVELLA MD
Internal Medicine
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (225) 765-5777
DR. MYRIA A MACK-WILLIAMS MD
Pediatrics
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (985) 893-3395
JONATHAN BRENT MOSS M.D.
Surgery
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (985) 892-3766
ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Specialist
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (985) 892-3766
SANDRA R ALMERICO APRN - ANP
Nurse Practitioner (Adult Health)
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (985) 892-3766
DR. GREGORY JACOB JR. MD
Internal Medicine (Pulmonary Disease)
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (985) 892-3766
GRANT DEAN CLINKINGBEARD MD
Pediatrics
728 W 11TH AVE
COVINGTON, LA 70433
St. Tammany Parish (985) 730-7195

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 Mark Jones's NPI number?

The NPI number for Mark Jones is 1215165303. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Mark Jones located?

Mark Jones practices at 728 W 11th Ave, Covington, LA 70433. The listed phone number is (985) 892-3766.

What is Mark Jones's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Jones enrolled in Medicare?

Yes. Mark 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.

Which organizations bill Medicare for Mark Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Jones reassigns Medicare benefits to 2 organizations: St. Tammany Parish Hospital Service District No 1 (Covington, LA) and Our Lady Of The Angels Hospital, Inc. (Bogalusa, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Jones accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Mark 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 Mark Jones affiliated with any hospitals?

According to CMS data, Mark Jones is affiliated with Ochsner Medical Center Acute, St Tammany Parish Hospital and Our Lady Of The Angels Hospital.

When was this NPI record last updated?

The NPPES record for Mark Jones was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.