MS. MELANIE DEBORAH JONES M.D. NPI 1306922497

Family Medicine in Malvern, AR

NPI 1306922497 Individual Female Years of Experience 18 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

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 NameMS. MELANIE DEBORAH JONES M.D.
Provider Location Address1001 SCHNEIDER DR MALVERN, AR 72104
Provider Mailing Address521 PRESIDENT CLINTON AVE APT 1302 LITTLE ROCK, AR 72201
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year2004
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-31-2006
Last Update Date08-18-2021


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.E-4992
License StateAR
Taxonomy DescriptionFamily 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

Get Directions


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

3050 Twin Rivers Dr
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 ID9830283811
PECOS Enrollment IDI20070921000078
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 COUNTY1001 SCHNEIDER DRIVE
MALVERN, AR 72104
(501) 332-1000Acute Care Hospitals40076
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK9601 INTERSTATE
LITTLE ROCK, AR 72205
(501) 202-2000Acute Care Hospitals40114

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
166419001MEDICAID (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
1144229881DR. ALLEN DEAN GERBER M.D.
Individual
Surgery1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-1012
1437111713HOT SPRING COUNTY MEDICAL CENTER
Organization
Psychiatric Unit1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 337-4911
1013979301HOT SPRING COUNTY MEDICAL CENTER
Organization
Clinic/Center (Emergency Care)1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 337-4911
1326002684BARBARA LAZERUS CRNA MS
Organization
Anesthesiology1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 337-4911
1558326140 BARBARA LAZERUS CRNA
Individual
Anesthesiology1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 337-4911
1649299009DR. JAMES KELLY MAHONE MD
Individual
General Acute Care Hospital1001 SCHNEIDER DR
MALVERN, AR 72104
(150) 133-7491
1720347693HOT SPRING COUNTY MEDICAL CENTER
Organization
Psychiatric Unit1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-1000
1447468152 ANDREA KINCHEN R.D.,L.D.
Individual
Dietitian, Registered1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-1064
1184975955HARRIS AND THEODORE ANESTHESIA SERVICES, LLC
Organization
Nurse Anesthetist, Certified Registered1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-7357
1437166774DR. VIVIAN FAYE HIGHSMITH MD
Individual
Family Medicine1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-7355
1053604355 DEBORAH COOPER BRUMLEY RPH
Individual
Pharmacist1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-7356
1255754255 ASHLEY PLYLER
Individual
Dietitian, Registered1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-1064
1104887264BAPTIST HEALTH
Organization
Home Health1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-1000
1649724261BAPTIST HEALTH
Organization
Medicare Defined Swing Bed Unit1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-1000
1770991754 OMAR QAZI MD
Individual
Family Medicine1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-1000
1104234004MR. DUSTIN J. MORROW LPC, ADC
Individual
Counselor (Professional)1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 332-7360
1629498167MURRELET EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine1001 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
1285929463DR. CARL VINSETT MD
Individual
Emergency Medicine1001 SCHNEIDER DR
MALVERN, AR 72104
(501) 337-3655
1366404014HOT SPRING COUNTY MEDICAL CENTER
Organization
Rehabilitation Unit1001 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.