1. Home
  2. Directory
  3. Indiana
  4. Plainfield
  5. Family Medicine
  6. NPI Profile

THOMAS D JONES M.D.
NPI 1518953033
Family Medicine in Plainfield, IN

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
1100 SOUTHFIELD DR, SUITE 1310, PLAINFIELD, IN 46168(317) 839-7741(317) 839-7749 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas D Jones M.d. NPPES

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

THOMAS D JONES M.D. (NPI 1518953033) is an individual family medicine provider in Plainfield, Indiana, licensed in Indiana (01027086A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Indiana University School Of Medicine (1979).

NPPES Registry Identity

NPI1518953033
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS D JONESCredential: M.D.
Location Address1100 SOUTHFIELD DR, SUITE 1310Plainfield, IN 46168-4498
Mailing Address1100 Southfield Dr, Suite 1370Plainfield, IN 46168-4498 · (317) 837-5571 · Fax (317) 837-5580
Phone(317) 839-7741
Fax(317) 839-7749
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1979
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1518953033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01027086A
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.
1100 SOUTHFIELD DR, Plainfield, IN 46168
Open in Google Maps ↗

Other Identifiers 1

Medicaid200124850AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Thomas D 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 ID7810090578
PECOS Enrollment IDI20070317000052
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 8

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.

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.
204 services185 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
168 services168 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.
105 services72 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services52 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
44 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46168 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%78 patients2/55-star benchmark: 100%
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers70 claims146 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers32 claims39 services$0.99 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.31 avg. paid by Medicare
Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds K0827
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$292.54 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.

LINDA S DECESARE MD
Internal Medicine
1100 SOUTHFIELD DR, SUITE 1220
PLAINFIELD, IN 46168
Hendricks County (317) 838-3443
STEPHEN C HEEGER D.O.
Family Medicine
1100 SOUTHFIELD DR, SUITE 1140
PLAINFIELD, IN 46168
Hendricks County (317) 839-7200
MORGAN BENJAMIN DPT
Physical Therapist
1100 SOUTHFIELD DR
PLAINFIELD, IN 46168
Hendricks County (317) 838-3434
DAVID O BAUGH MD
Family Medicine
1100 SOUTHFIELD DR, SUITE 1140
PLAINFIELD, IN 46168
Hendricks County (317) 839-7200
HENDRICKS COUNTY HOSPITAL
Internal Medicine (Rheumatology)
1100 SOUTHFIELD DR, SUITE 1330
PLAINFIELD, IN 46168
Hendricks County (317) 839-5510
GLASSHOUSE OPTICAL, INC
Ophthalmology
1100 SOUTHFIELD DR, SUITE 1320
PLAINFIELD, IN 46168
Hendricks County (317) 839-7300
HENDRICKS COUNTY HOSPITAL
Family Medicine
1100 SOUTHFIELD DR, SUITE 1312
PLAINFIELD, IN 46168
Hendricks County (317) 837-5555
DR. CYNTHIA A. MYERS M.S.P.T., DHS
Physical Therapist
1100 SOUTHFIELD DR, SUITE 1100
PLAINFIELD, IN 46168
Hendricks County (317) 838-3434

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 Thomas Jones's NPI number?

The NPI number for Thomas Jones is 1518953033. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Thomas Jones located?

Thomas Jones practices at 1100 Southfield Dr Suite 1310, Plainfield, IN 46168. The listed phone number is (317) 839-7741.

What is Thomas Jones's specialty?

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

Is Thomas Jones enrolled in Medicare?

Yes. Thomas 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 Thomas Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Thomas 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 Thomas Jones affiliated with any hospitals?

According to CMS data, Thomas Jones is affiliated with Hendricks Regional Health, Indiana University Health, Franciscan Health Mooresville and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Jones was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.