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CHARLENE JONES M.D., MPH
NPI 1316350366
Family Medicine - Sports Medicine in Springfield, PA

Active since June 07, 2014PECOS EnrolledAccepts Medicare Assignment
1001 BALTIMORE PIKE STE 14LL, SPRINGFIELD, PA 19064(610) 690-2106 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2022, May 25, 2021, Jan 12, 2021 (3 updates tracked since 2021).

About Charlene Jones M.d., Mph NPPES

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

CHARLENE JONES M.D., MPH (NPI 1316350366) is an individual sports medicine provider in Springfield, Pennsylvania, licensed in Pennsylvania (MD461642) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Morehouse School Of Medicine (2014).

NPPES Registry Identity

NPI1316350366
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameCHARLENE JONESCredential: M.D., MPH
Location Address1001 BALTIMORE PIKE STE 14LLSpringfield, PA 19064-2800
Mailing Address200 Hygeia Dr, Ste 1360Newark, DE 19713-2049 · (302) 320-9440
Phone(610) 690-2106
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 2014
Enumeration DateJune 7, 2014
Last NPPES UpdateAugust 8, 20223 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1316350366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · MD461642
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X · License C1-0024319 (DE), MD461642 (PA)
1001 BALTIMORE PIKE STE 14LL, Springfield, PA 19064
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Secondary Practice Location 1

Location 13601 A StPhiladelphia, PA 19134-1043 · Phone (215) 427-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Charlene Jones M.d., Mph 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 ID9032537147
PECOS Enrollment IDI20220819002938
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 Reassignment

Medicare enrollment records show Charlene Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christiana Care Health Services, Inc
12 mi
Family Medicine
1401 FOULK RD, SUITE 100B
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 clinicians in this Medicare group
NPI 1619951068 (302) 477-3300

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 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.

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.
89 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
35 services20 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.
32 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Charlene Jones's NPI number?

The NPI number for Charlene Jones is 1316350366. It was assigned to this individual provider in the NPPES registry on June 7, 2014.

Where is Charlene Jones located?

Charlene Jones practices at 1001 Baltimore Pike Ste 14ll, Springfield, PA 19064. The listed phone number is (610) 690-2106.

What is Charlene Jones's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Charlene Jones enrolled in Medicare?

Yes. Charlene 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 organization bills Medicare for Charlene Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Jones reassigns Medicare benefits to Christiana Care Health Services, Inc (Wilmington, DE). The 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 Charlene Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlene Jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Charlene 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 Charlene Jones was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.