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MR. BRIAN WILLIAM JONES OD
NPI 1578553376
Optometrist in Mount Dora, FL

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
99.04/100
CMS Quality Rating
17560 US HWY 441, MOUNT DORA, FL 32757(352) 735-2020(352) 735-3233 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Brian William Jones Od NPPES

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

MR. BRIAN WILLIAM JONES OD (NPI 1578553376) is an individual optometrist in Mount Dora, Florida, licensed in Florida (OPC02937) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1995).

NPPES Registry Identity

NPI1578553376
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. BRIAN WILLIAM JONESCredential: OD
Location Address17560 US HWY 441Mount Dora, FL 32757-6711
Mailing Address17560 Us Hwy 441Mount Dora, FL 32757-6711 · (352) 735-2020 · Fax (352) 735-3233
Phone(352) 735-2020
Fax(352) 735-3233
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1995
Enumeration DateOctober 24, 2005
Last NPPES UpdateAugust 26, 2010
✔ NPI 1578553376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC02937
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
17560 US HWY 441, Mount Dora, FL 32757
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Other Identifiers 3

Medicare UPINU61545FL
Medicaid620180600FL
Medicare ID-Type Unspecified20651FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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

Mr. Brian William Jones Od 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 ID1951441138
PECOS Enrollment IDI20091218000444
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 Brian Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Florida Eye Specialists Pl
26 mi
Ophthalmology
1592 S SR 15A
Deland, FL 32720
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1548259898 (386) 734-2931

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
521 services497 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.
352 services239 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
155 services152 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
149 services149 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
116 services115 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
99 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32757 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

99.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost96.82

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 Brian Jones's NPI number?

The NPI number for Brian Jones is 1578553376. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Brian Jones located?

Brian Jones practices at 17560 Us Hwy 441, Mount Dora, FL 32757. The listed phone number is (352) 735-2020.

What is Brian Jones's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Brian Jones enrolled in Medicare?

Yes. Brian 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 Brian Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Jones reassigns Medicare benefits to Central Florida Eye Specialists Pl (Deland, FL). 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 Brian Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Jones accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Wellpoint list Brian 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 Brian Jones was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.