DR. CARROLL PAYNE JONES III MD
NPI 1497734156
Orthopaedic Surgery in Charlotte, NC

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2001 VAIL AVE, SUITE 200B, CHARLOTTE, NC 28207(704) 323-2000 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carroll Payne Jones Iii Md NPPES

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

DR. CARROLL PAYNE JONES III MD (NPI 1497734156) is an individual orthopaedic surgery provider in Charlotte, North Carolina, licensed in North Carolina (2003-01479) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Medical College Of Georgia School Of Medicine (1998).

NPPES Registry Identity

NPI1497734156
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CARROLL PAYNE JONES IIICredential: MD
Location Address2001 VAIL AVE, SUITE 200BCharlotte, NC 28207-1219
Mailing Address4601 Park Rd, Ste 300Charlotte, NC 28209-3239 · (704) 323-2000
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1998
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJune 15, 2010
NPI 1497734156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 2003-01479
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 2003-01479 (NC)
2001 VAIL AVE, Charlotte, NC 28207

Other Identifiers 5

Medicare PIN2036182ANC
Medicaid89138TFNC
Medicare NSC0397730015NC
Medicare UPINH87307NC
Medicare NSC0397730024NC

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

Dr. Carroll Payne Jones Iii 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 ID7113977786
PECOS Enrollment IDI20050201000092
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 25

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.

X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
247 services158 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
196 services71 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.
183 services164 patients
X-ray of ankle, 2 views 73600
An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.
120 services83 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
71 services67 patients
Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
63 services34 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$19.03 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 20

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

Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

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 Carroll Jones's NPI number?

The NPI number for Carroll Jones is 1497734156. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Carroll Jones located?

Carroll Jones practices at 2001 Vail Ave Suite 200B, Charlotte, NC 28207. The listed phone number is (704) 323-2000.

What is Carroll Jones's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carroll Jones enrolled in Medicare?

Yes. Carroll 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 Carroll Jones accept?

Health plans from Blue Cross and Blue Shield of NC, First Choice Next, Molina Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Carroll 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 Carroll Jones affiliated with any hospitals?

According to CMS data, Carroll Jones is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Carroll Jones was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.