MS. MELANIE DEBORAH JONES M.D. NPI 1306922497
Family Medicine in Malvern, AR
About MELANIE JONES
Melanie Jones is a primary care provider established in Malvern, Arkansas and her medical specialization is family medicine with more than 18 years of experience. She graduated from University Of Arkansas College Of Medicine in 2004. The NPI number of Melanie Jones is 1306922497 and was assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number E-4992 (AR). The provider is registered as an individual and her NPI record was last updated one year ago.
A primary care provider (PCP) like Ms. Melanie Deborah Jones M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Melanie Jones is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Melanie Jones is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Baptist Health Medical Center-hot Springs County and Baptist Health Medical Center-little Rock.
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.57 for a new patient copayment and $23.9 for an established patient copayment.
| NPI | 1306922497 |
| Provider Name | MS. MELANIE DEBORAH JONES M.D. |
| Provider Location Address | 1001 SCHNEIDER DR MALVERN, AR 72104 |
| Provider Mailing Address | 521 PRESIDENT CLINTON AVE APT 1302 LITTLE ROCK, AR 72201 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-31-2006 |
| Last Update Date | 08-18-2021 |
Primary Taxonomy
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | E-4992 |
| License State | AR |
| Taxonomy Description | 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. |
Business Address
MS. MELANIE DEBORAH JONES M.D.
1001 SCHNEIDER DR
MALVERN, AR
ZIP 72104
Phone: (501) 332-1000
Mailing Address
MS. MELANIE DEBORAH JONES M.D.
521 PRESIDENT CLINTON AVE APT 1302
LITTLE ROCK, AR
ZIP 72201
Phone: (501) 246-1351
Secondary Locations
Arkadelphia, AR 71923
(870) 245-2622
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 9830283811 |
| PECOS Enrollment ID | I20070921000078 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 72104 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $53.13 | $163.67 | $82.31 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.28 | $40.91 | $20.57 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.26 | $133.84 | $95.6 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.06 | $33.46 | $23.9 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melanie Jones is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY | 1001 SCHNEIDER DRIVE MALVERN, AR 72104 | (501) 332-1000 | Acute Care Hospitals | 40076 | |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | 9601 INTERSTATE LITTLE ROCK, AR 72205 | (501) 202-2000 | Acute Care Hospitals | 40114 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 166419001 | MEDICAID (05) | AR |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144229881 | DR. ALLEN DEAN GERBER M.D. Individual | Surgery | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1012 |
| 1437111713 | HOT SPRING COUNTY MEDICAL CENTER Organization | Psychiatric Unit | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 337-4911 |
| 1013979301 | HOT SPRING COUNTY MEDICAL CENTER Organization | Clinic/Center (Emergency Care) | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 337-4911 |
| 1326002684 | BARBARA LAZERUS CRNA MS Organization | Anesthesiology | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 337-4911 |
| 1558326140 | BARBARA LAZERUS CRNA Individual | Anesthesiology | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 337-4911 |
| 1649299009 | DR. JAMES KELLY MAHONE MD Individual | General Acute Care Hospital | 1001 SCHNEIDER DR MALVERN, AR 72104 (150) 133-7491 |
| 1720347693 | HOT SPRING COUNTY MEDICAL CENTER Organization | Psychiatric Unit | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1000 |
| 1447468152 | ANDREA KINCHEN R.D.,L.D. Individual | Dietitian, Registered | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1064 |
| 1184975955 | HARRIS AND THEODORE ANESTHESIA SERVICES, LLC Organization | Nurse Anesthetist, Certified Registered | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-7357 |
| 1437166774 | DR. VIVIAN FAYE HIGHSMITH MD Individual | Family Medicine | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-7355 |
| 1053604355 | DEBORAH COOPER BRUMLEY RPH Individual | Pharmacist | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-7356 |
| 1255754255 | ASHLEY PLYLER Individual | Dietitian, Registered | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1064 |
| 1104887264 | BAPTIST HEALTH Organization | Home Health | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1000 |
| 1649724261 | BAPTIST HEALTH Organization | Medicare Defined Swing Bed Unit | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1000 |
| 1770991754 | OMAR QAZI MD Individual | Family Medicine | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1000 |
| 1104234004 | MR. DUSTIN J. MORROW LPC, ADC Individual | Counselor (Professional) | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-7360 |
| 1629498167 | MURRELET EMERGENCY PHYSICIANS LLC Organization | Emergency Medicine | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-1000 |
| 1164054649 | SCHANTZ A FLORES APRN, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 332-7360 |
| 1285929463 | DR. CARL VINSETT MD Individual | Emergency Medicine | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 337-3655 |
| 1366404014 | HOT SPRING COUNTY MEDICAL CENTER Organization | Rehabilitation Unit | 1001 SCHNEIDER DR MALVERN, AR 72104 (501) 337-4911 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.