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RACHAEL GAYLE JONES M.D.
NPI 1417256868
Psychiatry & Neurology - Psychiatry in Rochester, NY

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
300 CRITTENDEN BLVD, ROCHESTER, NY 14642(585) 276-6900(585) 276-1390 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2023, Oct 24, 2019, Jul 27, 2017 (3 updates tracked since 2017).

About Rachael Gayle Jones M.d. NPPES

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

RACHAEL GAYLE JONES M.D. (NPI 1417256868) is an individual psychiatry provider in Rochester, New York, licensed in New York (280895) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of Rutgers New Jersey Medical School (2011).

NPPES Registry Identity

NPI1417256868
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameRACHAEL GAYLE JONESCredential: M.D.
Location Address300 CRITTENDEN BLVDRochester, NY 14642-1064
Mailing Address300 Crittenden Blvd Box PsychRochester, NY 14642-0001 · (585) 275-6900 · Fax (585) 276-1390
Phone(585) 276-6900
Fax(585) 276-1390
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2011
Enumeration DateMarch 24, 2011
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
✔ NPI 1417256868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 280895
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
300 CRITTENDEN BLVD, Rochester, NY 14642
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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

Rachael Gayle 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 ID8527358506
PECOS Enrollment IDI20170714000884
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 3

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services12 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.76
Promoting Interoperability100
Improvement Activities40
Cost30.21

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.

DR. AILEEN ALDALUR PHD
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
LINDA ALPERT-GILLIS PH.D.
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733
LAUREN MUTIGNANI PHD
Psychologist (Clinical Child & Adolescent)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-2100
MARGARET CANDLER
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
ARJENA VALLS PALACIOS REESE
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
PETER C. BRITTON PH.D.
Psychologist (Clinical)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-5488
DR. EUGENIO CONTRERAS IV M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-4501
BETH GOLDENBERG NP
Nurse Practitioner
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733

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 Rachael Jones's NPI number?

The NPI number for Rachael Jones is 1417256868. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Rachael Jones located?

Rachael Jones practices at 300 Crittenden Blvd, Rochester, NY 14642. The listed phone number is (585) 276-6900.

What is Rachael Jones's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rachael Jones enrolled in Medicare?

Yes. Rachael 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.

Is Rachael Jones affiliated with any hospitals?

According to CMS data, Rachael Jones is affiliated with Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Rachael Jones was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.