DR. THOMAS ROBERT JONES MD, PHD
NPI 1649368911
Orthopaedic Surgery in Mankato, MN

Q: What is Thomas Jones's NPI number?

The NPI number for Thomas Jones is 1649368911. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Thomas Jones's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Jones was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 October 11, 2006PECOS EnrolledAccepts Medicare Assignment

81.84/100

CMS Quality Rating

1431 PREMIER DR, MANKATO, MN 56001(507) 386-6600 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Thomas Robert Jones Md, Phd NPPES

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

DR. THOMAS ROBERT JONES MD, PHD (NPI 1649368911) is an individual orthopaedic surgery provider in Mankato, Minnesota, licensed in Wisconsin (49466-020) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Madelia Health, and is a graduate of Emory University School Of Medicine (2005).

NPPES Registry Identity

NPI1649368911

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. THOMAS ROBERT JONESCredential: MD, PHD

Location Address1431 PREMIER DRMankato, MN 56001-6076

Mailing Address1431 Premier DrMankato, MN 56001-6076 · (507) 386-6600

Phone(507) 386-6600

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2005

Enumeration DateOctober 11, 2006

Last NPPES UpdateSeptember 18, 2013

✔ NPI 1649368911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WI · 49466-020

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1431 PREMIER DR, Mankato, MN 56001

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Other Identifiers 14

Other1649368911MN · Bcbs Of Mn

Medicare PIN1649368911MN

Medicaid1649368911MN

Other1649368911MN · Health Partners

Other1649368911MN · Medica/select Care

Other1649368911MN · Mmsi

Other1649368911MN · Humana

Other54143MN · Minnesota Medical License

Other1649368911MN · Preferred One

Other49466-020WI · Wisconsin Medical License

Other1649368911MN · Railroad Medicare

Other1649368911MN · Ucare

Other1649368911MN · Prime West

Other1649368911MN · America's Ppo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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. Thomas Robert Jones Md, Phd 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 ID4183717515

PECOS Enrollment IDI20110919000291

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 15

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.

307 services203 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

93 services70 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.

87 services75 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

58 services24 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

58 services35 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

55 services13 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

31 services30 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

28 services13 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

26 services20 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 22552

This is a surgical procedure where the upper spine bones are joined together after removing a disc. This helps to relieve pressure on the spinal cord or nerves. If more discs need to be removed, the same process is repeated for each additional disc.

23 services11 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

19 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services18 patients

Harvest of bone fragment for spine bone graft 20937

A harvest of a bone fragment for a spine bone graft is a procedure where a small piece of bone is taken from another part of your body. This bone is then used to help repair or strengthen areas in your spine that may be damaged or weak.

11 services11 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

11 services11 patients

Placement of stabilizing device to front, 4-7 spine bone segments 22846

This procedure involves placing a stabilizing device on the front of your spine, specifically between the 4th and 7th bone segments. This helps to support and stabilize your spine, improving alignment and reducing pain or discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Madelia Health

Critical Access Hospitals · Madelia, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number241323

Location121 Drew Avenue SoutheastMadelia, MN 56062 · Watonwan County

Emergency services

River's Edge Hospital & Clinic

Critical Access Hospitals · St Peter, MN

OwnershipGovernment - Local

CMS Certification Number241334

Location1900 North Sunrise DriveSt Peter, MN 56082 · Nicollet County

Emergency services

Centracare - Redwood

Critical Access Hospitals · Redwood Falls, MN

OwnershipGovernment - Local

CMS Certification Number241351

Location101 Caring WayRedwood Falls, MN 56283 · Redwood County

Emergency services Birthing friendly

United Hospital District

Critical Access Hospitals · Blue Earth, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241369

Location515 South Moore StreetBlue Earth, MN 56013 · Faribault County

Emergency services

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241378

Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

81.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

68.07

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

90%333 patients5/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%1,450 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

77%374 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 77% · 695 patients

Patients screened: 79% · 695 patients

85%98 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%337 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72%103 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

4%394 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.

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.

ABIGAIL BLOCH PHYSICIAN ASSISTANT

Physician Assistant