KELLY N JONES MD
NPI 1417057779
Family Medicine in Ballwin, MO

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
15945 CLAYTON RD STE 310, BALLWIN, MO 63011(636) 893-1356(636) 893-1358 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2024, Feb 7, 2024, Mar 7, 2023 and 2 more (5 updates tracked since 2020).

About Kelly N Jones Md NPPES

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

KELLY N JONES MD (NPI 1417057779) is an individual family medicine provider in Ballwin, Missouri, licensed in Missouri (2024038766) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1417057779
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY N JONESCredential: MD
Location Address15945 CLAYTON RD STE 310Ballwin, MO 63011-2493
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (636) 893-1356 · Fax (636) 893-1358
Fax(636) 893-1358
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 13, 20245 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1417057779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MO · 2024038766 Licensed in IL · 036-116148
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.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 036116148 (IL)
15945 CLAYTON RD STE 310, Ballwin, MO 63011

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

Kelly N 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 ID7810994563
PECOS Enrollment IDI20241227001103
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 8

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 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.
162 services101 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.
54 services44 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.
41 services26 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
28 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Dietitian, Registered
15945 CLAYTON RD STE 310
BALLWIN, MO 63011
Dietitian, Registered
15945 CLAYTON RD STE 310
BALLWIN, MO 63011
Dietitian, Registered
15945 CLAYTON RD STE 310
BALLWIN, MO 63011
Registered Nurse
15945 CLAYTON RD STE 310
BALLWIN, MO 63011
Nurse Practitioner (Adult Health)
15945 CLAYTON RD STE 310
BALLWIN, MO 63011
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15945 CLAYTON RD STE 310
BALLWIN, MO 63011
Internal Medicine
15945 CLAYTON RD STE 310
BALLWIN, MO 63011
Health Educator
15945 CLAYTON RD STE 310
BALLWIN, MO 63011

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 Kelly Jones's NPI number?

The NPI number for Kelly Jones is 1417057779. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Kelly Jones located?

Kelly Jones practices at 15945 Clayton Rd Ste 310, Ballwin, MO 63011. The listed phone number is (636) 893-1356.

What is Kelly Jones's specialty?

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

Is Kelly Jones enrolled in Medicare?

Yes. Kelly 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 Kelly Jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kelly 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 Kelly Jones affiliated with any hospitals?

According to CMS data, Kelly Jones is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Kelly Jones was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.