MR. TODD WILLIAM JONES PA-C
NPI 1306138797
Physician Assistant - Medical in Callicoon, NY

Q: What is Todd Jones's NPI number?

The NPI number for Todd Jones is 1306138797. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Q: What is Todd Jones's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Todd Jones was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 04, 2011PECOS EnrolledAccepts Medicare Assignment

8881 STATE ROUTE 97, CALLICOON, NY 12723(845) 887-5693(845) 887-5694 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2020, Mar 18, 2019 (2 updates tracked since 2019).

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About Mr. Todd William Jones Pa-c NPPES

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

MR. TODD WILLIAM JONES PA-C (NPI 1306138797) is an individual medical provider in Callicoon, New York, licensed in New York (014879) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306138797

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. TODD WILLIAM JONESCredential: PA-C

Location Address8881 STATE ROUTE 97Callicoon, NY 12723-5052

Mailing AddressPo Box 942Fort Drum, NY 13602-0942 · (706) 570-2614

Phone(845) 887-5693

Fax(845) 887-5694

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMay 4, 2011

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedAugust 10, 2020

✔ NPI 1306138797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 014879

Also ListedPhysician AssistantTaxonomy 363A00000X

8881 STATE ROUTE 97, Callicoon, NY 12723

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Secondary Practice Locations 3

Location 1707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-7575 · Fax (845) 333-7139

Location 238 Concord RdMonticello, NY 12701-3210 · Phone (845) 333-6500 · Fax (845) 333-6501

Location 3BLDG 10400 S Riva Ridge LoopFort Drum, NY 13602 · Phone (706) 570-2614

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

Mr. Todd William Jones Pa-c 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 ID6709021215

PECOS Enrollment IDI20130403000242

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 5

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.

144 services130 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.

97 services83 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.

19 services17 patients

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.

13 services11 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330126

Location707 East Main StreetMiddletown, NY 10940 · Orange County

Emergency services Birthing friendly

Garnet Health Medical Center Catskills

Acute Care Hospitals · Harris, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330386

Location68 Harris Bushville Road, P O Box 800Harris, NY 12742 · Sullivan County

Emergency services Birthing friendly

Garnet Health Medical Center Catskills

Critical Access Hospitals · Callicoon, NY

OwnershipGovernment - Federal

CMS Certification Number331303

Location8081 State Route 97Callicoon, NY 12723 · Sullivan County

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331312

Location1 Titus PlaceWalton, NY 13856 · Delaware County

Emergency services

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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms

Lower rates are better for this measure.

27%22 patients3/55-star benchmark: 100%

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)

Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis

Lower rates are better for this measure.

0%20 patients

Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis

The percentage of adults 18-64 years of age with a diagnosis of acute bronchitis who were not prescribed or dispensed an antibiotic prescription

89%44 patients

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 9

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

MRS. ERICA BOYD OTR/L

Occupational Therapist (Pediatrics)