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DR. LOREN M JONES M.D.
NPI 1619181062
Otolaryngology in Langley Afb, VA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
45 PINE ST, LANGLEY AFB, VA 23665(757) 764-9631(757) 764-7329 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Loren M Jones M.d. NPPES

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

DR. LOREN M JONES M.D. (NPI 1619181062) is an individual otolaryngology provider in Langley Afb, Virginia, licensed in Virginia (0101253017) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Georgetown University School Of Medicine (1999).

NPPES Registry Identity

NPI1619181062
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. LOREN M JONESCredential: M.D.
Location Address45 PINE STLangley Afb, VA 23665-2025
Mailing Address45 Pine StLangley Afb, VA 23665-2025 · (757) 764-9631 · Fax (757) 764-7329
Phone(757) 764-9631
Fax(757) 764-7329
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1999
Enumeration DateMay 9, 2007
Last NPPES UpdateJanuary 2, 2013
✔ NPI 1619181062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in VA · 0101253017✔ Licensed in IN · 01052836A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
45 PINE ST, Langley Afb, VA 23665
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company 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

Dr. Loren M Jones 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 ID2961681416
PECOS Enrollment IDI20150319000573
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 9

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.
207 services160 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.
152 services152 patients
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.
98 services85 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
82 services75 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
61 services54 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Lead-Deadwood Hospital

Critical Access Hospitals · Deadwood, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431320
Location61 Charles StreetDeadwood, SD 57732 · Lawrence County
Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23665 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

VICTOR DE LEON IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
45 PINE ST
LANGLEY AFB, VA 23665
Hampton City (757) 764-3869
BLAINE A TUFT D.O.
Pediatrics (Pediatric Gastroenterology)
45 PINE ST, 1ST MED GROUP/SGHC
LANGLEY AFB, VA 23665
Hampton City (757) 953-2983
DR. MATTHEW GREGORY NIEMI M.D.
Radiology (Diagnostic Radiology)
45 PINE ST
LANGLEY AFB, VA 23665
Hampton City (757) 764-9767
DR. CLAUDIA LYNN SANDS D.P.M.
Podiatrist (Foot & Ankle Surgery)
45 PINE ST, 1ST MEDICAL GROUP
LANGLEY AFB, VA 23665
Hampton City (757) 225-2221
DR. DAVID BOWERS DMD
Dentist (General Practice)
45 PINE ST, LANGLEY AFB
HAMPTON, VA 23665
Hampton City (757) 764-7611
GREGORY ANDERSON
Psychologist (Clinical)
45 PINE ST
LANGLEY AFB, VA 23665
Hampton City (757) 764-6840
MS. JO ANNE MERRELL L.C.S.W.
Social Worker (Clinical)
45 PINE ST
LANGLEY AFB, VA 23665
Hampton City (757) 764-9577
MRS. PAMELA MARY LOVELAND M.D.
Emergency Medicine
45 PINE ST, 1 MEDOPS SQ
LANGLEY AFB, VA 23665
Hampton City (757) 764-8501

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 Loren Jones's NPI number?

The NPI number for Loren Jones is 1619181062. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Loren Jones located?

Loren Jones practices at 45 Pine St, Langley Afb, VA 23665. The listed phone number is (757) 764-9631.

What is Loren Jones's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Loren Jones enrolled in Medicare?

Yes. Loren 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 Loren Jones accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Loren 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 Loren Jones affiliated with any hospitals?

According to CMS data, Loren Jones is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Lead-Deadwood Hospital, Monument Health Sturgis Hospital and Campbell County Health.

When was this NPI record last updated?

The NPPES record for Loren Jones was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.