NICOLE JONES M.D.
NPI 1619397619
Plastic Surgery in Columbia, SC

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
2 MEDICAL PARK RD STE 302, COLUMBIA, SC 29203(803) 434-8820(803) 254-0821 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Jun 8, 2023 (2 updates tracked since 2023).

About Nicole Jones M.d. NPPES

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

NICOLE JONES M.D. (NPI 1619397619) is an individual plastic surgery provider in Columbia, South Carolina, licensed in South Carolina (85654) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1619397619
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameNICOLE JONESCredential: M.D.
Location Address2 MEDICAL PARK RD STE 302Columbia, SC 29203-6839
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(803) 254-0821
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1619397619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in SC · 85654
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2 MEDICAL PARK RD STE 302, Columbia, SC 29203

Other Names 1

Former Name (1)Nikki Mark Burish

Secondary Practice Location 1

Location 1146 E Hospital Dr Ste 400West Columbia, SC 29169-4800 · Phone (803) 936-3300 · Fax (803) 936-7735

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

Nicole 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 ID7113263120
PECOS Enrollment IDI20210913001214
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 2

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.

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
17 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
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.

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Acute Care)
2 MEDICAL PARK RD STE 302
COLUMBIA, SC 29203
Plastic Surgery
2 MEDICAL PARK RD STE 302
COLUMBIA, SC 29203
Surgery (Plastic and Reconstructive Surgery)
2 MEDICAL PARK RD STE 302
COLUMBIA, SC 29203
Surgery
2 MEDICAL PARK RD STE 302
COLUMBIA, SC 29203
Plastic Surgery
2 MEDICAL PARK RD STE 302
COLUMBIA, SC 29203
Nurse Practitioner (Family)
2 MEDICAL PARK RD STE 302
COLUMBIA, SC 29203

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 Nicole Jones's NPI number?

The NPI number for Nicole Jones is 1619397619. It was assigned to this individual provider in the NPPES registry on April 17, 2014. The provider is also known as Nikki Mark Burish.

Where is Nicole Jones located?

Nicole Jones practices at 2 Medical Park Rd Ste 302, Columbia, SC 29203. The listed phone number is (803) 434-8820.

What is Nicole Jones's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Nicole Jones enrolled in Medicare?

Yes. Nicole 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 Nicole Jones accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Moda Health Plan, Inc. list Nicole 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 Nicole Jones affiliated with any hospitals?

According to CMS data, Nicole Jones is affiliated with Prisma Health Richland Hospital and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Nicole Jones was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.