THOMAS C JONES MD
NPI 1740208966
Internal Medicine - Endocrinology, Diabetes & Metabolism in Macon, GA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
32.97/100
CMS Quality Rating
265 SHERATON BLVD, MACON, GA 31210(478) 746-8626(478) 746-0491 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas C Jones Md NPPES

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

THOMAS C JONES MD (NPI 1740208966) is an individual endocrinology, diabetes & metabolism provider in Macon, Georgia, licensed in Georgia (021530) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of West Virginia University School Of Medicine (1973).

NPPES Registry Identity

NPI1740208966
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameTHOMAS C JONESCredential: MD
Location Address265 SHERATON BLVDMacon, GA 31210
Mailing Address265 Sheraton BlvdMacon, GA 31210 · (478) 746-8626 · Fax (478) 746-0491
Fax(478) 746-0491
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1973
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 1, 2011
NPI 1740208966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in GA · 021530
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
265 SHERATON BLVD, Macon, GA 31210

Other Identifiers 2

Medicaid000201264AGA
Medicare UPIND45779GA

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

Thomas C 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 ID5092717603
PECOS Enrollment IDI20070212000330
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 17

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.
453 services294 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
322 services184 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
268 services176 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
141 services115 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
131 services106 patients
Thyroid hormone, t3 measurement, free 84481
The T3 measurement, free, is a blood test that checks the level of a hormone called triiodothyronine. This hormone is produced by your thyroid, a small gland in your neck. It plays a key role in regulating your body's metabolism and energy use.
125 services102 patients

Hospital Affiliations CMS Care Compare 4

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110104
Location902 7th Street NorthCordele, GA 31015 · Crisp County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

32.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost89.91

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
11 suppliers134 claims1,799 services$18.36 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
11 suppliers131 claims4,160 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
52 suppliers183 claims622 services$5.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
21 suppliers43 claims77 services$1.06 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers23 claims44 services$59.15 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers24 claims136 services$23.74 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 9

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

Physician Assistant (Medical)
265 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Endocrinology, Diabetes & Metabolism)
265 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Endocrinology, Diabetes & Metabolism)
265 SHERATON BLVD
MACON, GA 31210
Dietitian, Registered
265 SHERATON BLVD
MACON, GA 31210
Nurse Practitioner (Family)
265 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Endocrinology, Diabetes & Metabolism)
265 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Endocrinology, Diabetes & Metabolism)
265 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Endocrinology, Diabetes & Metabolism)
265 SHERATON BLVD
MACON, GA 31210

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 1740208966. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Thomas Jones located?

Thomas Jones practices at 265 Sheraton Blvd, Macon, GA 31210. The listed phone number is (478) 746-8626.

What is Thomas Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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.

What insurance does Thomas Jones accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 Houston Healthcare, Crisp Regional Hospital, Atrium Health Navicent The Medical Center and Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Thomas Jones was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.