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DR. HAILE JONES MD
NPI 1780822882
Internal Medicine - Interventional Cardiology in Roanoke Rapids, NC

Active since January 27, 2009PECOS EnrolledAccepts Medicare Assignment
92.79/100
CMS Quality Rating
306 BECKER DR., ROANOKE RAPIDS, NC 27870(252) 537-9268(252) 537-0900 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2022, May 21, 2019, Sep 6, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Haile Jones Md NPPES

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

DR. HAILE JONES MD (NPI 1780822882) is an individual interventional cardiology provider in Roanoke Rapids, North Carolina, licensed in North Carolina (2013-00549) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1780822882
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. HAILE JONESCredential: MD
Location Address306 BECKER DR.Roanoke Rapids, NC 27870
Mailing Address3129 Belmont Lake DrRocky Mount, NC 27804-5921 · (215) 913-6533
Phone(252) 537-9268
Fax(252) 537-0900
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 27, 2009
Last NPPES UpdateJanuary 14, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1780822882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in NC · 2013-00549
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 188705 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 2013-00549 (NC)
306 BECKER DR., Roanoke Rapids, NC 27870
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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. Haile 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 ID3678629938
PECOS Enrollment IDI20130716000279
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 Haile Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nhcs Physicians, Inc.
34 mi
Hematology & Oncology
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 205 clinicians in this Medicare group
NPI 1932652492 (252) 962-8076
Carolina Cape Fear Medical Group, PA
121 mi
Cardiovascular Disease
3637 CAPE CENTER DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1124450572 (910) 491-1760
Watauga Medical Center Inc
224 mi
General Acute Care Hospital
336 DEERFIELD RD
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • 39 clinicians in this Medicare group
NPI 1205859766 (828) 262-4100

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
232 services230 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.
74 services58 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.
69 services66 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.
52 services41 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
43 services43 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27870 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

92.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability98
Improvement Activities40
Cost68.57

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%224 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
8%160 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
72%156 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%898 patients5/55-star benchmark: 100%
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.
95%643 patients4/55-star benchmark: 99%
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.
99%276 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.
99%647 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 200 patients
Patients tobacco: 29% · 28 patients
88%202 patients4/55-star benchmark: 98%
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…
69%647 patients3/55-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…
20%647 patients1/55-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.
16%647 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.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier12 claims12 services$880.91 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier12 claims24 services$310.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Haile Jones's NPI number?

The NPI number for Haile Jones is 1780822882. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Where is Haile Jones located?

Haile Jones practices at 306 Becker Dr., Roanoke Rapids, NC 27870. The listed phone number is (252) 537-9268.

What is Haile Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Haile Jones enrolled in Medicare?

Yes. Haile 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 Haile Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haile Jones reassigns Medicare benefits to 3 organizations: Nhcs Physicians, Inc. (Rocky Mount, NC), Carolina Cape Fear Medical Group, PA (Fayetteville, NC) and Watauga Medical Center Inc (Boone, NC). 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 Haile Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haile Jones accept?

Health plans from Cigna Healthcare list Haile 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 Haile Jones affiliated with any hospitals?

According to CMS data, Haile Jones is affiliated with North Carolina Baptist Hospital, Watauga Medical Center and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Haile Jones was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.