MR. EDWARD DUANE JONES M.D.
NPI 1639139793
Ophthalmology in Oklahoma City, OK

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
17.77/100
CMS Quality Rating
5701 N. PORTLAND, SUITE 105, OKLAHOMA CITY, OK 73112(405) 949-6401(405) 946-4283 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Edward Duane Jones M.d. NPPES

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

MR. EDWARD DUANE JONES M.D. (NPI 1639139793) is an individual ophthalmology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (18051) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1991).

NPPES Registry Identity

NPI1639139793
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. EDWARD DUANE JONESCredential: M.D.
Location Address5701 N. PORTLAND, SUITE 105Oklahoma City, OK 73112-1670
Mailing Address5701 N. Portland, Suite 105Oklahoma City, OK 73112-1670 · (405) 949-6401 · Fax (405) 946-4283
Fax(405) 946-4283
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1991
Enumeration DateMarch 24, 2006
Last NPPES UpdateAugust 11, 2010
✔ NPI 1639139793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OK · 18051
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5701 N. PORTLAND, SUITE 105, Oklahoma City, OK 73112

Other Identifiers 1

Medicare UPINF45441OK

Accepted 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. Edward Duane 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 ID1355411943
PECOS Enrollment IDI20110204000549
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 Edward Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
14701 N SANTA FE AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 20 clinicians in this Medicare group

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 16

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
452 services248 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
282 services179 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.
253 services253 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.
175 services164 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
154 services150 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
121 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

17.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost59.25

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%73 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Edward Jones's NPI number?

The NPI number for Edward Jones is 1639139793. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Edward Jones located?

Edward Jones practices at 5701 N. Portland, Suite 105, Oklahoma City, OK 73112. The listed phone number is (405) 949-6401.

What is Edward Jones's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Edward Jones enrolled in Medicare?

Yes. Edward 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 Edward Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Jones reassigns Medicare benefits to Britton Vision Associates Inc (Edmond, OK). 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 Edward Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Jones accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Edward 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 Edward Jones was last updated on August 11, 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.