RICHARD LEROY JONES JR. M.D.
NPI 1558552174
Obstetrics & Gynecology in Baltimore, MD

Active since August 08, 2007PECOS EnrolledAccepts Medicare Assignment
900 CATON AVE, MAILBOX 081, BALTIMORE, MD 21229(443) 703-3200(443) 703-3201 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Richard Leroy Jones Jr. M.d. NPPES

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

RICHARD LEROY JONES JR. M.D. (NPI 1558552174) is an individual obstetrics & gynecology provider in Baltimore, Maryland, licensed in Maryland (D78115) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and is a graduate of Howard University College Of Medicine (2006).

NPPES Registry Identity

NPI1558552174
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRICHARD LEROY JONES JR.Credential: M.D.
Location Address900 CATON AVE, MAILBOX 081Baltimore, MD 21229-5201
Mailing Address3501 Sinclair LnBaltimore, MD 21213-2029 · (410) 732-8800 · Fax (410) 534-2392
Fax(443) 703-3201
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2006
Enumeration DateAugust 8, 2007
Last NPPES UpdateNovember 6, 2015
✔ NPI 1558552174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MD · D78115✔ Licensed in IL · 036126558
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.
900 CATON AVE, Baltimore, MD 21229

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

Richard Leroy Jones Jr. 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 ID4587853833
PECOS Enrollment IDI20160823000310
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 Richard Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7350 VAN DUSEN RD STE 260
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • 328 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.

Hospital Affiliations CMS Care Compare

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210003
Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%343 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
55%76 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
85%297 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%297 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
42%297 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
53%297 patients
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.

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.

Anesthesiology
900 CATON AVE
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE, MAILSTOP 134
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE
BALTIMORE, MD 21229
Specialist
900 CATON AVE
BALTIMORE, MD 21229
Family Medicine
900 CATON AVE, MAILBOX #081
BALTIMORE, MD 21229
Internal Medicine (Hematology & Oncology)
900 CATON AVE
BALTIMORE, MD 21229
Nurse Anesthetist, Certified Registered
900 CATON AVE
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE
BALTIMORE, MD 21229

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 Richard Jones's NPI number?

The NPI number for Richard Jones is 1558552174. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Richard Jones located?

Richard Jones practices at 900 Caton Ave Mailbox 081, Baltimore, MD 21229. The listed phone number is (443) 703-3200.

What is Richard Jones's specialty?

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

Is Richard Jones enrolled in Medicare?

Yes. Richard 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 organization bills Medicare for Richard Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Jones reassigns Medicare benefits to Dimensions Healthcare Associates Inc (Laurel, MD). 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 Richard Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Richard Jones affiliated with any hospitals?

According to CMS data, Richard Jones is affiliated with University Of MD Capital Region Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Jones was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.