WILLIAM T JONES MD
NPI 1225521214
Emergency Medicine in Henderson, KY

Q: What is William Jones's NPI number?

The NPI number for William Jones is 1225521214. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is William Jones's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for William Jones was last updated on May 22, 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.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

82.82/100

CMS Quality Rating

1305 N ELM ST, HENDERSON, KY 42420(708) 277-1005(270) 827-7446 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 22, 2023, Jul 1, 2021, Jun 13, 2018 (3 updates tracked since 2018).

On this page

About William T Jones Md NPPES

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

WILLIAM T JONES MD (NPI 1225521214) is an individual emergency medicine provider in Henderson, Kentucky, licensed in Kentucky (54927) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225521214

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameWILLIAM T JONESCredential: MD

Location Address1305 N ELM STHenderson, KY 42420-2783

Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (270) 827-7100 · Fax (270) 827-7446

Phone(708) 277-1005

Fax(270) 827-7446

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 13, 2018

Last NPPES UpdateMay 22, 20233 updates tracked since enumeration

NPPES CertifiedMay 22, 2023

✔ NPI 1225521214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in KY · 54927✔ Licensed in IN · 01089981A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1305 N ELM ST, Henderson, KY 42420

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Secondary Practice Locations 2

Location 14011 Gateway BlvdNewburgh, IN 47630-8947 · Phone (812) 842-3030 · Fax (812) 842-3058

Location 2600 Mary StreetEvansville, IN 47747-0001 · Phone (812) 450-3405 · Fax (812) 450-3099

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

William T 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 ID8729334842

PECOS Enrollment IDI20210709001159, I20230615002436

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 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

180 services165 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

150 services136 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

136 services129 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180056

Location1305 N Elm StHenderson, KY 42420 · Henderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

82.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.28

Promoting Interoperability

100

Improvement Activities

Cost

45.24

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.

MRS. ERIN LYNN MONROE R.N.

Registered Nurse (Medical-Surgical)