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WILLIAM RILEY JONES D.O.
NPI 1366464596
Family Medicine in Georgetown, TX

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
3008 DAWN DR, SUITE 201, GEORGETOWN, TX 78628(512) 863-4596(512) 863-4676 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Riley Jones D.o. NPPES

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

WILLIAM RILEY JONES D.O. (NPI 1366464596) is an individual family medicine provider in Georgetown, Texas, licensed in Texas (F4134) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1366464596
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM RILEY JONESCredential: D.O.
Location Address3008 DAWN DR, SUITE 201Georgetown, TX 78628-2822
Mailing Address3008 Dawn Dr, Suite 201Georgetown, TX 78628-2821 · (512) 863-4596 · Fax (512) 863-4676
Phone(512) 863-4596
Fax(512) 863-4676
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 24, 2006
Last NPPES UpdateApril 30, 2013
✔ NPI 1366464596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F4134
Definition
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.
3008 DAWN DR, Georgetown, TX 78628
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Other Identifiers 2

Medicare UPIND97438TX
Medicare ID-Type Unspecified00MH56TX · Part B Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.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

William Riley Jones D.o. 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 ID1658362223
PECOS Enrollment IDI20040521000550
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 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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
181 services101 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.
174 services93 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.
165 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78628 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
62%82 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
12%155 patients1/55-star benchmark: 85%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%202 patients2/55-star benchmark: 88%
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 3

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

WILLIAM ROBERT UMSTATTD D.O.
Family Medicine
3008 DAWN DR, SUITE 201
GEORGETOWN, TX 78628
Williamson County (512) 863-4596
BLUE LIGHT COUNSELING
Counselor (Professional)
3008 DAWN DR, SUITE 101
GEORGETOWN, TX 78628
Williamson County (603) 724-0079
MAGON KUNES LPC
Counselor (Professional)
3008 DAWN DR, SUITE 101
GEORGETOWN, TX 78628
Williamson County (603) 724-0079

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 William Jones's NPI number?

The NPI number for William Jones is 1366464596. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is William Jones located?

William Jones practices at 3008 Dawn Dr Suite 201, Georgetown, TX 78628. The listed phone number is (512) 863-4596.

What is William Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Jones enrolled in Medicare?

Yes. William 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 William Jones accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list William 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 William Jones affiliated with any hospitals?

According to CMS data, William Jones is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for William Jones was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.