DR. THOMAS M. JONES M.D.
NPI 1386693158
Orthopaedic Surgery in Columbia, SC

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
14 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203(803) 434-6958(803) 434-8537 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2021, Mar 9, 2018, Dec 21, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Thomas M. Jones M.d. NPPES

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

DR. THOMAS M. JONES M.D. (NPI 1386693158) is an individual orthopaedic surgery provider in Columbia, South Carolina, licensed in South Carolina (34030) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1386693158
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS M. JONESCredential: M.D.
Location Address14 RICHLAND MEDICAL PARK DR STE 200Columbia, SC 29203-6882
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(803) 434-8537
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2005
Enumeration DateMay 9, 2006
Last NPPES UpdateOctober 2, 20254 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
NPI 1386693158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SC · 34030
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 34030 (SC)
14 RICHLAND MEDICAL PARK DR STE 200, Columbia, SC 29203

Secondary Practice Location 1

Location 15 Richland Medical Park Dr Ste 200Columbia, SC 29203-6863 · Phone (803) 296-7846 · Fax (803) 296-9699

Other Identifiers 2

OtherP00983791SC · Medicare Railroad
Medicaid340303SC

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

Dr. Thomas M. Jones M.d. 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 ID8426174624
PECOS Enrollment IDI20111104000442
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.

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.
46 services36 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
31 services19 patients
X-ray of ankle, 2 views 73600
An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.
27 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$13.51 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 20

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

Physical Medicine & Rehabilitation (Pain Medicine)
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203
Physician Assistant (Medical)
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203
Orthopaedic Surgery (Orthopaedic Trauma)
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203
Anesthesiology
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC 29203

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 Thomas Jones's NPI number?

The NPI number for Thomas Jones is 1386693158. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Thomas Jones located?

Thomas Jones practices at 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203. The listed phone number is (803) 434-6958.

What is Thomas Jones's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Jones enrolled in Medicare?

Yes. Thomas 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 Thomas Jones accept?

Health plans from BlueCross BlueShield of South Carolina list Thomas 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 Thomas Jones affiliated with any hospitals?

According to CMS data, Thomas Jones is affiliated with Prisma Health Richland Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Jones was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.