DR. HORATIO C JONES III MD
NPI 1235101676
Family Medicine in Wilmington, DE

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
5311 LIMESTONE RD, STE 201, WILMINGTON, DE 19808(302) 224-9109(302) 234-9042 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Horatio C Jones Iii Md NPPES

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

DR. HORATIO C JONES III MD (NPI 1235101676) is an individual family medicine provider in Wilmington, Delaware, licensed in Delaware (C10005740) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1992).

NPPES Registry Identity

NPI1235101676
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HORATIO C JONES IIICredential: MD
Location Address5311 LIMESTONE RD, STE 201Wilmington, DE 19808
Mailing Address5311 Limestone Rd, Ste 201Wilmington, DE 19808 · (302) 224-9109 · Fax (302) 234-9042
Fax(302) 234-9042
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1992
Enumeration DateFebruary 1, 2006
Last NPPES UpdateMay 18, 2015
✔ NPI 1235101676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C10005740
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License CI0005740 (DE)
5311 LIMESTONE RD, Wilmington, DE 19808

Other Identifiers 2

Medicare ID-Type Unspecified00421053
Medicare UPINH05131

Accepted 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

Dr. Horatio C 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 ID5294893475
PECOS Enrollment IDI20100209000696
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 Horatio Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
5311 LIMESTONE ROAD, SUITE 201
Wilmington, DE 19808
  • Reassigned Medicare billing, Delaware enrollment
  • Medicare enrollment name: Stoney Batter Family Medicine Associates PA
  • 17 clinicians in this Medicare group
Urgent Care
200 HYGEIA DR
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 113 clinicians in this Medicare group

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 2

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.

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.
30 services30 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 13

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

Family Medicine
5311 LIMESTONE RD
WILMINGTON, DE 19808
Sleep Specialist, PhD
5311 LIMESTONE RD, SUITE 205
WILMINGTON, DE 19808
Clinic/Center (Podiatric)
5311 LIMESTONE RD, SUITE 203
WILMINGTON, DE 19808
Nurse Practitioner
5311 LIMESTONE RD, STE 201
WILMINGTON, DE 19808
Physical Therapist
5311 LIMESTONE RD, STONEY BATTER MEDICAL PAVILION
WILMINGTON, DE 19808
Internal Medicine
5311 LIMESTONE RD, SUITE 100
WILMINGTON, DE 19808
Podiatrist
5311 LIMESTONE RD, SUITE 203
WILMINGTON, DE 19808
Nurse Practitioner (Family)
5311 LIMESTONE RD, SUITE 201
WILMINGTON, DE 19808

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 Horatio Jones's NPI number?

The NPI number for Horatio Jones is 1235101676. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Horatio Jones located?

Horatio Jones practices at 5311 Limestone Rd Ste 201, Wilmington, DE 19808. The listed phone number is (302) 224-9109.

What is Horatio Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Horatio Jones enrolled in Medicare?

Yes. Horatio 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 Horatio Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Horatio Jones reassigns Medicare benefits to 2 organizations: Stoney Batter Family Medicine Associates, P.A. (Wilmington, DE) and Christiana Care Quality Partners (Newark, DE). 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 Horatio Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Horatio Jones accept?

Health plans from AmeriHealth Caritas Next list Horatio 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 Horatio Jones was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.