DR. JOHN JONES D.O.
NPI 1396974234
Internal Medicine in Hazard, KY

Active since July 14, 2009PECOS EnrolledAccepts Medicare Assignment
101 TOWN AND COUNTRY LN STE 100, HAZARD, KY 41701(606) 439-1300(606) 439-1400 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Jones D.o. NPPES

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

DR. JOHN JONES D.O. (NPI 1396974234) is an individual internal medicine provider in Hazard, Kentucky, licensed in Kentucky (03447) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2009).

NPPES Registry Identity

NPI1396974234
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN JONESCredential: D.O.
Location Address101 TOWN AND COUNTRY LN STE 100Hazard, KY 41701-9524
Mailing AddressPo Box 1988Hazard, KY 41702-1988 · (606) 435-7642 · Fax (606) 436-5282
Fax(606) 439-1400
Sole ProprietorYes
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2009
Enumeration DateJuly 14, 2009
Last NPPES UpdateFebruary 12, 2019
NPI 1396974234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 03447
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 TOWN AND COUNTRY LN STE 100, Hazard, KY 41701

Other Identifiers 1

Medicaid7100201070KY

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. John 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 ID7315102878
PECOS Enrollment IDI20120706000541
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 30

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 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.
537 services103 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
266 services124 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
261 services123 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
235 services111 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
207 services92 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
88 services60 patients

Hospital Affiliations CMS Care Compare 3

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Arh Our Lady Of The Way

Critical Access Hospitals · Martin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181305
Location11203 Main StreetMartin, KY 41649 · Floyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

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
12 suppliers59 claims182 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers50 claims75 services$0.98 avg. paid by Medicare
Irrigation syringe, bulb or piston, each A4322
DME-Medical/Surgical Supplies · category DA000N
1 supplier24 claims168 services$2.92 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers20 claims40 services$55.28 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
3 suppliers20 claims120 services$23.97 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers28 claims310 services$7.65 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.

Physician Assistant
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Nurse Practitioner (Psychiatric/Mental Health)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Pediatrics
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Nurse Practitioner (Psychiatric/Mental Health)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Nurse Practitioner
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701

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 John Jones's NPI number?

The NPI number for John Jones is 1396974234. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is John Jones located?

John Jones practices at 101 Town And Country Ln Ste 100, Hazard, KY 41701. The listed phone number is (606) 439-1300.

What is John Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Jones enrolled in Medicare?

Yes. John 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 John Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list John 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 John Jones affiliated with any hospitals?

According to CMS data, John Jones is affiliated with Whitesburg Arh Hospital, Hazard Arh Regional Medical Center and Arh Our Lady Of The Way.

When was this NPI record last updated?

The NPPES record for John Jones was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.