ROBIN JONES CNP
NPI 1245794049
Nurse Practitioner - Family in Gallipolis, OH

Active since January 25, 2019PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
100 JACKSON PIKE, GALLIPOLIS, OH 45631(855) 446-5937 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2021, Jan 25, 2019 (2 updates tracked since 2019).

About Robin Jones Cnp NPPES

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

ROBIN JONES CNP (NPI 1245794049) is an individual family provider in Gallipolis, Ohio, licensed in Ohio (APRN.CNP.024006) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245794049
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBIN JONESCredential: CNP
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address100 Jackson PikeGallipolis, OH 45631-1560 · (855) 446-5937
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 25, 2019
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1245794049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.024006
100 JACKSON PIKE, Gallipolis, OH 45631

Other Identifiers 1

Medicaid0422058OH

Accepted 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

Robin Jones Cnp 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 ID2567872682
PECOS Enrollment IDI20201030002352
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 2024 & 2026 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.
132 services119 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.
70 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

Reported Quality Measures

Breast Cancer Screening
53%437 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
33%60 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
65%664 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
96%28 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
58%285 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%285 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,686 patients4/55-star benchmark: 100%
e-Prescribing
100%1,405 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%480 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%2,045 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
63%1,521 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%1,762 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 71% · 2,042 patients
Patients screened: 85% · 2,042 patients
50%545 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%844 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%576 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 503 patients
Patients totalRate: 31% · 520 patients
33%520 patients1/55-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 20

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

Pharmacist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pathology (Anatomic Pathology & Clinical Pathology)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pharmacist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Occupational Therapist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pharmacist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245794049, enumerated as an "individual" on January 25, 2019.

The provider is located at 100 JACKSON PIKE GALLIPOLIS, OH 45631 and the phone number is (855) 446-5937.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.

Robin Jones is affiliated with: HOLZER MEDICAL CENTER.