DR. GAVIN PAUL JONES MD
NPI 1427542919
Radiology - Radiation Oncology in Worcester, MA

Q: What is Gavin Jones's NPI number?

The NPI number for Gavin Jones is 1427542919. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Gavin Jones's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Gavin Jones was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

33 KENDALL ST, WORCESTER, MA 01605(508) 334-6550 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 31, 2023, Jun 18, 2018 (2 updates tracked since 2018).

On this page

About Dr. Gavin Paul Jones Md NPPES

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

DR. GAVIN PAUL JONES MD (NPI 1427542919) is an individual radiation oncology provider in Worcester, Massachusetts, licensed in Massachusetts (1014702) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1427542919

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. GAVIN PAUL JONESCredential: MD

Location Address33 KENDALL STWorcester, MA 01605-2726

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885

Phone(508) 334-6550

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2018

Enumeration DateJune 18, 2018

Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1427542919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in MA · 1014702

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

33 KENDALL ST, Worcester, MA 01605

Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 442-5551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Gavin Paul 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 ID8820340698

PECOS Enrollment IDI20230622002709

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 15

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

528 services22 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

119 services35 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

94 services25 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.

66 services41 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

55 services13 patients

Insertion of device into vagina for radiation therapy 57156

This procedure involves placing a small device in the lower part of your body, near the abdomen. The device delivers radiation therapy to target and treat specific health concerns. It is a common, safe and effective method used in medical treatments.

51 services11 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

51 services13 patients

High dose radiation therapy, 1 channel 77770

High dose radiation therapy involves using a high energy beam to target and destroy cancer cells. The 1 channel refers to the single direction from which the radiation is delivered. This therapy aims to minimize damage to healthy tissues while effectively treating the disease.

51 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

31 services31 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

29 services28 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.

26 services23 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

24 services22 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

24 services22 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

16 services14 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 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220019

Location100 South StreetSouthbridge, MA 01550 · Worcester County

Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

97.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

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.

ERIN MARIE BEDNAREK N.P.

Nurse Practitioner (Women's Health)

33 KENDALL ST
WORCESTER, MA 01605

Worcester County (508) 334-6255

JOSHUA HENRY ALTSCHULER MD

Urology

33 KENDALL ST
WORCESTER, MA 01605

Worcester County (508) 334-8765

MRS. DANIELLE KATHLEEN WRIGHT CNP

Nurse Practitioner (Women's Health)

33 KENDALL ST
WORCESTER, MA 01605

Worcester County (508) 334-6255

SEANNA LONGACRE

Nurse Practitioner (Acute Care)

33 KENDALL ST
WORCESTER, MA 01605

Worcester County (508) 334-8765

DEBRA M PAPA M.D.

Obstetrics & Gynecology (Obstetrics)

33 KENDALL ST, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
WORCESTER, MA 01605

Worcester County (508) 334-6255

JENNIFER FANTASIA M.D.

Urology

33 KENDALL ST
WORCESTER, MA 01605

Worcester County (083) 348-7655

KATE LOBISSER PA-C

Physician Assistant

33 KENDALL ST
WORCESTER, MA 01605

Worcester County (508) 334-8765

ELIZABETH R. ALLOCCO M.D.

Obstetrics & Gynecology

33 KENDALL ST
WORCESTER, MA 01605

Worcester County (508) 334-6255

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 Gavin Jones's NPI number?

The NPI number for Gavin Jones is 1427542919. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Gavin Jones located?

Gavin Jones practices at 33 Kendall St, Worcester, MA 01605. The listed phone number is (508) 334-6550.

What is Gavin Jones's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Gavin Jones enrolled in Medicare?

Yes. Gavin 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 Gavin Jones accept?

Health plans from Anthem Blue Cross and Blue Shield list Gavin 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 Gavin Jones affiliated with any hospitals?

According to CMS data, Gavin Jones is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Gavin Jones was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.