DR. CHARLES WADE JONES MD
NPI 1326035056
Surgery in Jefferson, NC

Q: What is Charles Jones's NPI number?

The NPI number for Charles Jones is 1326035056. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Charles Jones's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Jones was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 27, 2005PECOS EnrolledAccepts Medicare Assignment

93.2/100

CMS Quality Rating

200 HOSPITAL AVE, SUITE 5, JEFFERSON, NC 28640(336) 246-7779(336) 846-8370 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2021, Dec 10, 2020 (2 updates tracked since 2020).

On this page

About Dr. Charles Wade Jones Md NPPES

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

DR. CHARLES WADE JONES MD (NPI 1326035056) is an individual surgery provider in Jefferson, North Carolina, licensed in North Carolina (9700607) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Wake Forest University School Of Medicine (1992).

NPPES Registry Identity

NPI1326035056

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. CHARLES WADE JONESCredential: MD

Location Address200 HOSPITAL AVE, SUITE 5Jefferson, NC 28640-9244

Mailing AddressPo Box 1509, 200 Hospital Ave Suite 5Jefferson, NC 28640-1509 · (336) 246-7779 · Fax (336) 846-8370

Phone(336) 246-7779

Fax(336) 846-8370

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 1992

Enumeration DateSeptember 27, 2005

Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration

NPPES CertifiedAugust 18, 2021

✔ NPI 1326035056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NC · 9700607

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

200 HOSPITAL AVE, Jefferson, NC 28640

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Other Identifiers 7

Other208188753 0002NC · Cigna Healthcare

OtherP00182199NC · Rr Medicare

Other249899NC · Anthem Bc

Other26782NC · Partners

Other1046LNC · Bcbs Nc

Medicaid891046LNC

Other81528NC · Medcost

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Dr. Charles Wade Jones Md 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 ID2264533835

PECOS Enrollment IDI20070726000309

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 15

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

143 services141 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.

85 services71 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

81 services81 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.

72 services61 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

70 services70 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

54 services54 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.

54 services54 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services23 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.

22 services17 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

19 services19 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

18 services17 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Insertion of peripheral nerve neurostimulator electrode through skin 64555

This procedure involves placing a small electrode under the skin to stimulate peripheral nerves. It helps manage chronic pain by sending mild electrical signals to the nervous system, interrupting pain signals before they reach the brain.

13 services13 patients

Implantable neurostimulator, pulse generator, any type L8679

An implantable neurostimulator is a device implanted under your skin. It sends mild electrical signals to your spinal cord or specific nerves, helping manage chronic pain or control certain neurological disorders. It's like a "pacemaker" for your nerves.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340051

Location336 Deerfield RoadBoone, NC 28607 · Watauga County

Emergency services Birthing friendly

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341325

Location200 Hospital AveJefferson, NC 28640 · Ashe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28640 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

93.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Cost

88.16

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

93%74 patients5/55-star benchmark: 87%

Colorectal Cancer Screening

72%400 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

74%272 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%810 patients5/55-star benchmark: 100%

e-Prescribing

100%617 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

98%629 patients5/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 646 patients

Patients screened: 95% · 646 patients

98%98 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

95%790 patients4/55-star benchmark: 100%

Support Electronic Referral Loops By Sending Health Information

36%87 patients2/55-star benchmark: 100%

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 20

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

KATHERINE A AVERILL MD

Obstetrics & Gynecology

200 HOSPITAL AVE
JEFFERSON, NC 28640

Ashe County (336) 846-7433

HIGH COUNTRY FAMILY MEDICINE, PA

Family Medicine

200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640

Ashe County (336) 846-7238

SHARON PATRICIA DILLEY MD

Internal Medicine

200 HOSPITAL AVE
JEFFERSON, NC 28640

Ashe County (336) 846-7433

DR. JOHN ALVAR SUNDIN M.D.

Surgery

200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640

Ashe County (336) 846-8939

DR. RONALD WILLIAM BENFIELD MD

Orthopaedic Surgery

200 HOSPITAL AVE
JEFFERSON, NC 28640

Ashe County (336) 846-7101

MOUNT JEFFERSON FAMILY MEDICINE, P.A.

Family Medicine

200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640

Ashe County (336) 846-7433

ASHE MEMORIAL HOSPITAL INC

Specialist/Technologist, Pathology

200 HOSPITAL AVE
JEFFERSON, NC 28640

Ashe County (336) 846-7101

CHARLES W JONES MD PA ENDOSCOPY SUITE

Clinic/Center (Ambulatory Surgical)

200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640

Ashe County (336) 246-7779

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 Charles Jones's NPI number?

The NPI number for Charles Jones is 1326035056. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Charles Jones located?

Charles Jones practices at 200 Hospital Ave Suite 5, Jefferson, NC 28640. The listed phone number is (336) 246-7779.

What is Charles Jones's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Jones enrolled in Medicare?

Yes. Charles 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 Charles Jones accept?

Health plans from Blue Cross and Blue Shield of NC list Charles 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 Charles Jones affiliated with any hospitals?

According to CMS data, Charles Jones is affiliated with Watauga Medical Center and Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Jones was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.