BENJAMIN JONES MD
NPI 1558725762
Internal Medicine in Prosper, TX

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
1970 W UNIVERSITY DR STE 100, PROSPER, TX 75078(469) 329-7860 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Jones Md NPPES

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

BENJAMIN JONES MD (NPI 1558725762) is an individual internal medicine provider in Prosper, Texas, licensed in Texas (S4506) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558725762
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBENJAMIN JONESCredential: MD
Location Address1970 W UNIVERSITY DR STE 100Prosper, TX 75078-8134
Mailing Address1970 W University Dr Ste 100Prosper, TX 75078-8134 · (469) 329-7860
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2016
Last NPPES UpdateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
NPI 1558725762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · S4506
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1970 W UNIVERSITY DR STE 100, Prosper, TX 75078

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

Benjamin 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 ID9638504657
PECOS Enrollment IDI20200122001759
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

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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75078 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims50 services$6.06 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 3

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

Physician Assistant
1970 W UNIVERSITY DR STE 100
PROSPER, TX 75078
Family Medicine
1970 W UNIVERSITY DR STE 100
PROSPER, TX 75078
Nurse Practitioner (Family)
1970 W UNIVERSITY DR STE 100
PROSPER, TX 75078

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 Benjamin Jones's NPI number?

The NPI number for Benjamin Jones is 1558725762. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Benjamin Jones located?

Benjamin Jones practices at 1970 W University Dr Ste 100, Prosper, TX 75078. The listed phone number is (469) 329-7860.

What is Benjamin Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Benjamin Jones enrolled in Medicare?

Yes. Benjamin 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 Benjamin Jones accept?

Health plans from Blue Cross and Blue Shield of Texas list Benjamin 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 Benjamin Jones affiliated with any hospitals?

According to CMS data, Benjamin Jones is affiliated with Medical City Plano and Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Benjamin Jones was last updated on December 28, 2020. 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.