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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANE JONES DPM
NPI 1568037489
Podiatrist in Madison, AL

Active since May 24, 2021PECOS EnrolledAccepts Medicare Assignment
12205 COUNTY LINE RD STE C, MADISON, AL 35758(256) 684-8247 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, May 24, 2021 (2 updates tracked since 2021).

About Shane Jones Dpm NPPES

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

SHANE JONES DPM (NPI 1568037489) is an individual podiatrist in Madison, Alabama, licensed in Alabama (402) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2021).

NPPES Registry Identity

NPI1568037489
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSHANE JONESCredential: DPM
Location Address12205 COUNTY LINE RD STE CMadison, AL 35758-7720
Mailing Address12205 County Line Rd Ste CMadison, AL 35758-7720
Phone(256) 684-8247
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2021
Enumeration DateMay 24, 2021
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1568037489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in AL · 402
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
12205 COUNTY LINE RD STE C, Madison, AL 35758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Shane Jones Dpm 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 ID8123567823
PECOS Enrollment IDI20240826003905
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 3

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
115 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
93 services93 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.
47 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 5

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

DR. MARC ALAN HULTQUIST D.O.
Pediatrics
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 258-8319
STEPHANIE FAITH BARNETT CRNP
Nurse Practitioner (Family)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 246-8575
SOUTHEASTERN PODIATRY LLC
Podiatrist
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 684-8247
REAGAN'S CLINIC, LLC
Pediatrics (Developmental - Behavioral Pediatrics)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (563) 424-0459
KRESTA LEE SUNDERMAN CRNP
Pediatrics
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 258-8319

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 Shane Jones's NPI number?

The NPI number for Shane Jones is 1568037489. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Shane Jones located?

Shane Jones practices at 12205 County Line Rd Ste C, Madison, AL 35758. The listed phone number is (256) 684-8247.

What is Shane Jones's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Shane Jones enrolled in Medicare?

Yes. Shane 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 Shane Jones accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Shane 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 Shane Jones was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.