DR. THOMAS JONES M.D.
NPI 1639187354
Family Medicine in Virginia Beach, VA

Q: What is Thomas Jones's NPI number?

The NPI number for Thomas Jones is 1639187354. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Thomas Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Jones was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment

1120 FIRST COLONIAL RD, SUITE 100, VIRGINIA BEACH, VA 23454(757) 481-2333(757) 481-1037 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Thomas Jones M.d. NPPES

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

DR. THOMAS JONES M.D. (NPI 1639187354) is an individual family medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101053817) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Eastern Virginia Medical School (1993).

NPPES Registry Identity

NPI1639187354

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS JONESCredential: M.D.

Location Address1120 FIRST COLONIAL RD, SUITE 100Virginia Beach, VA 23454-2418

Mailing Address1120 First Colonial Rd, Suite 100Virginia Beach, VA 23454-2418 · (757) 481-2333 · Fax (757) 481-1037

Phone(757) 481-2333

Fax(757) 481-1037

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1993

Enumeration DateAugust 4, 2006

Last NPPES UpdateDecember 1, 2010

✔ NPI 1639187354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101053817

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1120 FIRST COLONIAL RD, Virginia Beach, VA 23454

Open in Google Maps ↗

Other Identifiers 3

Medicaid5619262VA

Medicare ID-Type Unspecified080005450VA

Medicare UPING26436VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Thomas 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 ID7113975467

PECOS Enrollment IDI20050104000553

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 Reassignments

Medicare enrollment records show Thomas Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hamilton Acquisition Corp.

3.4 mi

Family Medicine

1100 FIRST COLONIAL RD
Virginia Beach, VA 23454

Reassigned Medicare billing, Virginia enrollment
7 clinicians in this Medicare group

NPI 1851490593 (757) 366-3100

Privia Medical Group, LLC

151 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, Virginia enrollment
1,315 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

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 13

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.

724 services427 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.

510 services333 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

446 services446 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

70 services66 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

63 services43 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

46 services42 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

39 services33 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

28 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services23 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

23 services23 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490017

Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County

Emergency services

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490057

Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County

Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490119

Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

87%8,730 patients3/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

37%934 patients2/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

95%729 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

65%4,773 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%4,659 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

53%4,659 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

43%4,659 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers19 claims40 services$6.29 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers16 claims16 services$16.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. GEORGE BULLARD JR. M.D.

Family Medicine

1120 FIRST COLONIAL RD, SUITE 100
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 481-2333

GEORGE MARSHALL KEMP MD

Obstetrics & Gynecology (Gynecology)

1120 FIRST COLONIAL RD, SUITE 202
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 481-0327

DR. STEPHEN W. KAYOTA MD

Physical Medicine & Rehabilitation

1120 FIRST COLONIAL RD, SUITE 206
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 496-2325

JUAN R GELPI M.D.

Specialist

1120 FIRST COLONIAL RD, SUITE 203
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 481-4424

BASIL S SKENDERIS II M.D.

Specialist

1120 FIRST COLONIAL RD, SUITE 203
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 481-4424

DR. KIRK W HEATH M.D.

Surgery

1120 FIRST COLONIAL RD, SUITE 203
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 481-4424

DR. BRADLEY TENNANT M.D.

Family Medicine

1120 FIRST COLONIAL RD, SUITE 100
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 481-2333

JEFFREY J BERGER M.D.

Specialist

1120 FIRST COLONIAL RD, SUITE 203
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 481-4424

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 Thomas Jones's NPI number?

The NPI number for Thomas Jones is 1639187354. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Thomas Jones located?

Thomas Jones practices at 1120 First Colonial Rd Suite 100, Virginia Beach, VA 23454. The listed phone number is (757) 481-2333.

What is Thomas Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Jones enrolled in Medicare?

Yes. Thomas 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 organizations bill Medicare for Thomas Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Jones reassigns Medicare benefits to 2 organizations: Hamilton Acquisition Corp. (Virginia Beach, VA) and Privia Medical Group, LLC (Arlington, VA). Each 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 Thomas Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Jones accept?

Health plans from Oscar Health list Thomas 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 Thomas Jones affiliated with any hospitals?

According to CMS data, Thomas Jones is affiliated with Sentara Norfolk General Hospital, Bon Secours Maryview Medical Center, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Jones was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.