DR. JOHN JONES M.D.
NPI 1497767206
Emergency Medicine in Baton Rouge, LA

Active since August 12, 2006PECOS Enrolled
78.66/100
CMS Quality Rating
3600 FLORIDA BLVD, BATON ROUGE, LA 70806(225) 387-7053 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John Jones M.d. NPPES

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

DR. JOHN JONES M.D. (NPI 1497767206) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (019563) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497767206
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN JONESCredential: M.D.
Location Address3600 FLORIDA BLVDBaton Rouge, LA 70806-3842
Mailing Address3600 Florida BlvdBaton Rouge, LA 70806-3842 · (225) 387-7053
Sole ProprietorYes
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497767206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 019563
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3600 FLORIDA BLVD, Baton Rouge, LA 70806

Other Identifiers 3

Medicare UPINB65433LA
Medicare ID-Type Unspecified5A013LA
Medicaid1377929LA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John 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 Reassignment

Medicare enrollment records show John Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
3600 FLORIDA BLVD
Baton Rouge, LA 70806
  • Reassigned Medicare billing, Louisiana enrollment
  • 112 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
208 services203 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
183 services173 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70806 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

78.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.62
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
1 supplier11 claims11 services$10.95 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.

Internal Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
Nurse Practitioner (Adult Health)
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
Internal Medicine (Cardiovascular Disease)
3600 FLORIDA BLVD, BOX 2511
BATON ROUGE, LA 70806
Emergency Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
Emergency Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
Skilled Nursing Facility
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
Internal Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
Internal Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806

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 John Jones's NPI number?

The NPI number for John Jones is 1497767206. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is John Jones located?

John Jones practices at 3600 Florida Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 387-7053.

What is John Jones's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Jones enrolled in Medicare?

Yes. John Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Jones reassigns Medicare benefits to Red Stick Emergency Group LLC (Baton Rouge, LA). The 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 John Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Jones accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list John 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.

When was this NPI record last updated?

The NPPES record for John Jones was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.