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DR. PENOLA P JONES MD
NPI 1689632424
Obstetrics & Gynecology in Sandusky, OH

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
2500 W STRUB RD STE 210, SANDUSKY, OH 44870(419) 625-2841(419) 625-1299 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Penola P Jones Md NPPES

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

DR. PENOLA P JONES MD (NPI 1689632424) is an individual obstetrics & gynecology provider in Sandusky, Ohio, licensed in Ohio (35050195) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1980).

NPPES Registry Identity

NPI1689632424
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PENOLA P JONESCredential: MD
Location Address2500 W STRUB RD STE 210Sandusky, OH 44870-5390
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 609-1112 · Fax (419) 609-1123
Phone(419) 625-2841
Fax(419) 625-1299
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1980
Enumeration DateMay 2, 2006
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1689632424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35050195
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License 35-050195 (OH)
2500 W STRUB RD STE 210, Sandusky, OH 44870
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Other Identifiers 1

Medicaid0553511OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Penola P Jones Md 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 ID9335120187
PECOS Enrollment IDI20040527000088
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

3

Medicare enrollment records show Penola Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Ohio Medical Specialists LLC
1.1 mi
Internal Medicine
3004 HAYES AVE
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 247 clinicians in this Medicare group
NPI 1225085855 (419) 609-1112
Family Health Services Of Erie County
2.2 mi
Federally Qualified Health Center (FQHC)
1912 HAYES AVE
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 49 clinicians in this Medicare group
NPI 1831343805 (419) 502-2822
North Coast Professional Company, LLC
2.2 mi
Internal Medicine
1912 HAYES AVE STE 1E
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 182 clinicians in this Medicare group
NPI 1881648210 (419) 557-5541

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 5

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 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.
127 services97 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
97 services97 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
69 services69 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.
62 services47 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
45 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

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 Penola Jones's NPI number?

The NPI number for Penola Jones is 1689632424. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Penola Jones located?

Penola Jones practices at 2500 W Strub Rd Ste 210, Sandusky, OH 44870. The listed phone number is (419) 625-2841.

What is Penola Jones's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Penola Jones enrolled in Medicare?

Yes. Penola 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 Penola Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Penola Jones reassigns Medicare benefits to 3 organizations: Northern Ohio Medical Specialists LLC (Sandusky, OH), Family Health Services Of Erie County (Sandusky, OH) and North Coast Professional Company, LLC (Sandusky, OH). 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 Penola Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Penola Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Penola 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 Penola Jones affiliated with any hospitals?

According to CMS data, Penola Jones is affiliated with Firelands Regional Medical Center, Bellevue Hospital, Memorial Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Penola Jones was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.