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JOSEPH THEODORE JONES JR. PA-C
NPI 1316725989
Physician Assistant in York, PA

Active since September 15, 2023PECOS EnrolledAccepts Medicare Assignment
1855 POWDER MILL RD, YORK, PA 17402(717) 848-4800(717) 741-9867 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Theodore Jones Jr. Pa-c NPPES

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

JOSEPH THEODORE JONES JR. PA-C (NPI 1316725989) is an individual physician assistant in York, Pennsylvania and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Upmc Memorial, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316725989
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH THEODORE JONES JR.Credential: PA-C
Location Address1855 POWDER MILL RDYork, PA 17402-4723
Mailing Address1861 Powder Mill Road, Attn Medical Staff OfficeYork, PA 17402-4723 · (717) 718-2041
Phone(717) 848-4800
Fax(717) 741-9867
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 15, 2023
Last NPPES UpdateApril 16, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1316725989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1855 POWDER MILL RD, York, PA 17402
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Secondary Practice Locations 3

Location 1470 Eisenhower DrHanover, PA 17331-5248 · Phone (717) 633-0031 · Fax (717) 630-1085
Location 2856 Century DrMechanicsburg, PA 17055-4505 · Phone (717) 730-7099 · Fax (717) 741-9867
Location 31665 Roosevelt AveYork, PA 17408-8549 · Phone (717) 848-4800 · Fax (717) 741-9867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Joseph Theodore Jones Jr. 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 ID9234585340
PECOS Enrollment IDI20231026000476
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 10

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 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.
40 services40 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.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
22 services22 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
17 services17 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Oss Orthopaedic Hospital

Acute Care Hospitals · York, PA
OwnershipProprietary
CMS Certification Number390325
Location1861 Powder Mill RdYork, PA 17402 · York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. DENNIS B. MACDOUGALL CRNP
Nurse Practitioner (Acute Care)
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MR. BRIAN KOONS PA-C
Physician Assistant
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MATTHEW JOSEPH TREPANIER PT, DPT
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MRS. SANDRA A DAW M.S.P.T.
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MR. DAVID MICHAEL HEILAND DPT
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
KIMBERLY FAYE GODEK PT,DPT
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 747-8302
ABBIE LEIGH KELLEY D.O.
Family Medicine
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
KATHLEEN DIXON SMITH OTD, OTR/L
Occupational Therapist (Hand)
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 747-8302

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 Joseph Jones's NPI number?

The NPI number for Joseph Jones is 1316725989. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Joseph Jones located?

Joseph Jones practices at 1855 Powder Mill Rd, York, PA 17402. The listed phone number is (717) 848-4800.

What is Joseph Jones's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joseph Jones enrolled in Medicare?

Yes. Joseph 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.

What insurance does Joseph Jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joseph 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.

Is Joseph Jones affiliated with any hospitals?

According to CMS data, Joseph Jones is affiliated with Upmc Memorial, Upmc Hanover and Oss Orthopaedic Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Jones was last updated on April 16, 2024. 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.