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KENNETH LEE JONES MD
NPI 1508847948
Emergency Medicine in Erie, PA

Active since November 11, 2005PECOS EnrolledAccepts Medicare Assignment
201 STATE ST, ERIE, PA 16550(814) 877-6139(814) 877-6093 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Lee Jones Md NPPES

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

KENNETH LEE JONES MD (NPI 1508847948) is an individual emergency medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD425076) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Burleson Hospital, and is a graduate of Georgetown University School Of Medicine (2001).

NPPES Registry Identity

NPI1508847948
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH LEE JONESCredential: MD
Location Address201 STATE STErie, PA 16550-0002
Mailing Address201 State StErie, PA 16550-0002 · (814) 877-6139 · Fax (814) 877-6093
Phone(814) 877-6139
Fax(814) 877-6093
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2001
Enumeration DateNovember 11, 2005
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1508847948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD425076✔ Licensed in TX · N2585
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.
201 STATE ST, Erie, PA 16550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.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

Kenneth Lee 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 ID1355368648
PECOS Enrollment IDI20080326000882, I20090818000607
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 7

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 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.
151 services139 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.
91 services87 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
91 services88 patients
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.
68 services68 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
36 services14 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Chi St Joseph Health Burleson Hospital

Critical Access Hospitals · Caldwell, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number451305
Location1101 Woodson DriveCaldwell, TX 77836 · Burleson County

Grimes St Joseph Health Center

Critical Access Hospitals · Navasota, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451322
Location210 Judson StNavasota, TX 77868 · Grimes County
Emergency services

Altus Lumberton Hospital

Acute Care Hospitals · Lumberton, TX
OwnershipProprietary
CMS Certification Number670134
Location220 Blanco StLumberton, TX 77657 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

MRS. MARSHA SIGRID DIETRICH-MCLEAN D.O.
Hospitalist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
NANCY LUCILLE KARDOS PTA
Physical Therapy Assistant
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000
MRS. SHANNON R FOLGA MSN, CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 450-0776
ALYSSA LEIGH KIMMY CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2621
DR. JAMES PAWLAK III DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 864-4031
HALLE KATE SNYDER
Speech-Language Pathologist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2820
COLLEEN KASSANDRA DOMINICI PA-C
Physician Assistant (Medical)
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
DR. KEVIN A ANDRYC DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000

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 Kenneth Jones's NPI number?

The NPI number for Kenneth Jones is 1508847948. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Kenneth Jones located?

Kenneth Jones practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-6139.

What is Kenneth Jones's specialty?

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

Is Kenneth Jones enrolled in Medicare?

Yes. Kenneth 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 Kenneth Jones accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Molina Healthcare and 2 other insurers list Kenneth 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 Kenneth Jones affiliated with any hospitals?

According to CMS data, Kenneth Jones is affiliated with Chi St Joseph Health Burleson Hospital, Grimes St Joseph Health Center and Altus Lumberton Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Jones was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.