DR. RHYS JONES M.D.
NPI 1457394538
Family Medicine in Paso Robles, CA

Q: What is Rhys Jones's NPI number?

The NPI number for Rhys Jones is 1457394538. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Rhys Jones's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rhys Jones was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 14, 2006PECOS Enrolled

2800 RIVERSIDE AVE, PASO ROBLES, CA 93446(805) 238-7250 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Rhys Jones M.d. NPPES

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

DR. RHYS JONES M.D. (NPI 1457394538) is an individual family medicine provider in Paso Robles, California, licensed in California (C176161) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457394538

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RHYS JONESCredential: M.D.

Location Address2800 RIVERSIDE AVEPaso Robles, CA 93446-1311

Mailing Address170 Valley RdMontclair, NJ 07042-2323 · (973) 865-7254

Phone(805) 238-7250

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateMarch 22, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1457394538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · C176161✔ Licensed in NJ · 25MA06691000

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.

2800 RIVERSIDE AVE, Paso Robles, CA 93446

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rhys Jones M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Rhys Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jwch Institute, Inc.

173 mi

Federally Qualified Health Center (FQHC)

954 N VERMONT
Los Angeles, CA 90029

Reassigned Medicare billing, California enrollment
138 clinicians in this Medicare group

NPI 1598829350 (323) 201-4516

Robert Wood Johnson Medical Associates At Hamilton PA

2,523 mi

General Practice

328 W SAINT GEORGES AVE
Linden, NJ 07036

Reassigned Medicare billing, New Jersey enrollment
60 clinicians in this Medicare group

NPI 1619206828 (908) 925-2273

Prohealth Urgent Care Medicine Of New Jersey LLP

2,536 mi

Emergency Care

461 RIVER RD
Edgewater, NJ 07020

Reassigned Medicare billing, New Jersey enrollment
144 clinicians in this Medicare group

NPI 1477927754 (516) 622-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93446 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

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

95%3,074 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%174 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

70%1,457 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

99%1,457 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

28%1,457 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

38%1,457 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$18.89 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$5.77 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 10

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

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