JENNIFER L THONE MD
NPI 1386616704
Family Medicine in Luverne, MN

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1601 SIOUX VALLEY DR, LUVERNE, MN 56156(507) 283-4476(507) 283-9086 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer L Thone Md NPPES

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

JENNIFER L THONE MD (NPI 1386616704) is an individual family medicine provider in Luverne, Minnesota, licensed in Minnesota (46532) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of University Of Minnesota Medical School (2002).

NPPES Registry Identity

NPI1386616704
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER L THONECredential: MD
Location Address1601 SIOUX VALLEY DRLuverne, MN 56156-4500
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-8395 · Fax (605) 328-6512
Fax(507) 283-9086
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2002
Enumeration DateFebruary 2, 2006
Last NPPES UpdateApril 6, 2022
NPPES CertifiedApril 6, 2022
NPI 1386616704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MN · 46532 Licensed in SD · 5682
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.

1601 SIOUX VALLEY DR, Luverne, MN 56156

Other Identifiers 1

Medicaid5611780SD

Accepted 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

Jennifer L Thone 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 ID8224062914
PECOS Enrollment IDI20071029000748
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
68 services34 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.
30 services11 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.
15 services12 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56156 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers22 claims33 services$6.02 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers21 claims21 services$43.89 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims22 services$24.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$23.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers17 claims54 services$2.57 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
4 suppliers12 claims12 services$13.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

General Acute Care Hospital (Critical Access)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Counselor (Mental Health)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Surgery
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Physical Therapist
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Family Medicine
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Nurse Practitioner (Family)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Pharmacist
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Nurse Practitioner (Family)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156

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 Jennifer Thone's NPI number?

The NPI number for Jennifer Thone is 1386616704. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Jennifer Thone located?

Jennifer Thone practices at 1601 Sioux Valley Dr, Luverne, MN 56156. The listed phone number is (507) 283-4476.

What is Jennifer Thone's specialty?

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

Is Jennifer Thone enrolled in Medicare?

Yes. Jennifer Thone 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 Jennifer Thone accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Jennifer Thone 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 Jennifer Thone affiliated with any hospitals?

According to CMS data, Jennifer Thone is affiliated with Sanford Worthington Medical Center, Sanford Luverne Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Thone was last updated on April 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.