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MICHAEL A JONES DPM
NPI 1598765810
Podiatrist - Foot & Ankle Surgery in Sidney, OH

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
1000 W MICHIGAN AVE, SIDNEY, OH 45365(937) 492-1211(937) 492-6557 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael A Jones Dpm NPPES

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

MICHAEL A JONES DPM (NPI 1598765810) is an individual foot & ankle surgery provider in Sidney, Ohio, licensed in Ohio (10385) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of Kent State University College Of Podiatric Medicine (2002).

NPPES Registry Identity

NPI1598765810
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMICHAEL A JONESCredential: DPM
Location Address1000 W MICHIGAN AVESidney, OH 45365-2404
Mailing Address1000 W Michigan AveSidney, OH 45365-2404 · (937) 492-1211 · Fax (937) 492-6557
Phone(937) 492-1211
Fax(937) 492-6557
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2002
Enumeration DateJuly 28, 2005
Last NPPES UpdateNovember 7, 2007
✔ NPI 1598765810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in OH · 10385✔ Licensed in PA · SC005625✔ Licensed in WV · 10385
1000 W MICHIGAN AVE, Sidney, OH 45365
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Other Identifiers 2

Medicare UPINVO5122OH
Medicare PINJO4158723OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Michael A 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 ID9335182526
PECOS Enrollment IDI20130212000263
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 6

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 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.
114 services69 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.
77 services77 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
46 services33 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
25 services15 patients
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.
18 services15 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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 Michael Jones's NPI number?

The NPI number for Michael Jones is 1598765810. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Michael Jones located?

Michael Jones practices at 1000 W Michigan Ave, Sidney, OH 45365. The listed phone number is (937) 492-1211.

What is Michael Jones's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Michael Jones enrolled in Medicare?

Yes. Michael 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 Michael Jones accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Michael 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 Michael Jones affiliated with any hospitals?

According to CMS data, Michael Jones is affiliated with High Point Regional Health System and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Michael Jones was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.