DR. TONI M MASON-JONES M.D.
NPI 1477648533
Obstetrics & Gynecology in Clinton, MD

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
52.15/100
CMS Quality Rating
7501 SURRATTS RD STE 207, CLINTON, MD 20735(301) 768-2300(301) 856-1964 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2021, Sep 26, 2018, Jul 2, 2018 (3 updates tracked since 2018).

About Dr. Toni M Mason-jones M.d. NPPES

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

DR. TONI M MASON-JONES M.D. (NPI 1477648533) is an individual obstetrics & gynecology provider in Clinton, Maryland, licensed in Maryland (D0063962) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477648533
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. TONI M MASON-JONESCredential: M.D.
Location Address7501 SURRATTS RD STE 207Clinton, MD 20735-3362
Mailing Address8110 Maple Lawn Blvd, Ste 235Fulton, MD 20759-2694 · (301) 856-1113
Fax(301) 856-1964
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1996
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 28, 20233 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1477648533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MD · D0063962
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License D0063962 (MD)
7501 SURRATTS RD STE 207, Clinton, MD 20735

Secondary Practice Locations 2

Location 19131 Piscataway Rd, SUITE 540Clinton, MD 20735 · Phone (301) 856-1113
Location 211350 Pembrooke Sq Ste 302Waldorf, MD 20603-4809 · Phone (301) 843-7000 · Fax (301) 645-1768

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Toni M Mason-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 ID4082612908
PECOS Enrollment IDI20061130000522, I20100510000025
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

2

Medicare enrollment records show Toni Mason-jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1145 19TH ST NW, SUITE 311
Washington, DC 20036
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
Obstetrics & Gynecology
8110 MAPLE LAWN BLVD STE 235
Fulton, MD 20759
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Medicare enrollment name: Capital Womens Care LLC
  • 186 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
92 services50 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.
58 services49 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
55 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

52.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality14.28
Promoting Interoperability67
Improvement Activities40
Cost53.74

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
7501 SURRATTS RD STE 207
CLINTON, MD 20735
Obstetrics & Gynecology
7501 SURRATTS RD STE 207
CLINTON, MD 20735
Midwife
7501 SURRATTS RD STE 207
CLINTON, MD 20735
Obstetrics & Gynecology
7501 SURRATTS RD STE 207
CLINTON, MD 20735

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 Toni Mason-jones's NPI number?

The NPI number for Toni Mason-jones is 1477648533. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Toni Mason-jones located?

Toni Mason-jones practices at 7501 Surratts Rd Ste 207, Clinton, MD 20735. The listed phone number is (301) 768-2300.

What is Toni Mason-jones's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Toni Mason-jones enrolled in Medicare?

Yes. Toni Mason-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.

Which organizations bill Medicare for Toni Mason-jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Mason-jones reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Capital Women's Care, L.L.C. (Fulton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Mason-jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Toni Mason-jones affiliated with any hospitals?

According to CMS data, Toni Mason-jones is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Toni Mason-jones was last updated on November 28, 2023. 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.