JOSHUA LEE JONES M.D.
NPI 1801320544
Ophthalmology in Tyler, TX

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
92.42/100
CMS Quality Rating
3355 EARL CAMPBELL PKWY, TYLER, TX 75701(903) 526-0444 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Jul 11, 2024, Aug 9, 2023 and 2 more (5 updates tracked since 2017).

About Joshua Lee Jones M.d. NPPES

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

JOSHUA LEE JONES M.D. (NPI 1801320544) is an individual ophthalmology provider in Tyler, Texas, licensed in Texas (BP20063332) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801320544
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSHUA LEE JONESCredential: M.D.
Location Address3355 EARL CAMPBELL PKWYTyler, TX 75701-8435
Mailing Address3355 Earl Campbell PkwyTyler, TX 75701-8435 · (903) 526-0444 · Fax (903) 535-6650
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2022
Enumeration DateApril 19, 2017
Last NPPES UpdateAugust 28, 20255 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1801320544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · BP20063332
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3355 EARL CAMPBELL PKWY, Tyler, TX 75701

Secondary Practice Locations 3

Location 13415 Golden RdTyler, TX 75701-8355 · Phone (903) 526-0444 · Fax (903) 595-6650
Location 22394 H G Mosley PkwyLongview, TX 75604-3661 · Phone (903) 539-9520
Location 31240 S Palestine StAthens, TX 75751-3619 · Phone (903) 526-0444

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

Joshua Lee 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 ID9931459914
PECOS Enrollment IDI20220826003104
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 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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
207 services156 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.
182 services140 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Realignment of vertical eye muscle 67314
Realignment of vertical eye muscle is a surgical procedure aimed to correct problems with eye movement or alignment. This involves adjusting the length or position of eye muscles, helping your eyes to focus together properly. It's a common solution for conditions like strabismus (crossed eyes).
13 services13 patients
Realignment of horizontal eye muscle 67311
Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX
OwnershipPhysician
CMS Certification Number450864
Location1814 Roseland BoulevardTyler, TX 75701 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

92.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost74.76

Other Providers at the Same Location NPPES 14

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

Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Eyewear Supplier
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Eyewear Supplier
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701

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 Joshua Jones's NPI number?

The NPI number for Joshua Jones is 1801320544. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Joshua Jones located?

Joshua Jones practices at 3355 Earl Campbell Pkwy, Tyler, TX 75701. The listed phone number is (903) 526-0444.

What is Joshua Jones's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joshua Jones enrolled in Medicare?

Yes. Joshua 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 Joshua Jones accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Joshua 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 Joshua Jones affiliated with any hospitals?

According to CMS data, Joshua Jones is affiliated with Christus Mother Frances Hospital and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Jones was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.