DR. MARK A JONES M.D.
NPI 1801867346
Internal Medicine - Cardiovascular Disease in Indianapolis, IN

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237(317) 893-1900(317) 893-1901 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2021, Jan 16, 2019 (2 updates tracked since 2019).

About Dr. Mark A Jones M.d. NPPES

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

DR. MARK A JONES M.D. (NPI 1801867346) is an individual cardiovascular disease provider in Indianapolis, Indiana, licensed in Indiana (01045165A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and is a graduate of Indiana University School Of Medicine (1993).

NPPES Registry Identity

NPI1801867346
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MARK A JONESCredential: M.D.
Location Address5330 E STOP 11 RDIndianapolis, IN 46237-6345
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(317) 893-1901
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1993
Enumeration DateFebruary 1, 2006
Last NPPES UpdateApril 27, 20232 updates tracked since enumeration
NPPES CertifiedApril 27, 2023
NPI 1801867346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IN · 01045165A
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01045165A (IN)
5330 E STOP 11 RD, Indianapolis, IN 46237

Other Identifiers 1

Medicaid200252360AIN

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

Dr. Mark A 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 ID1254234271
PECOS Enrollment IDI20051115000220
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 18

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
281 services109 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.
272 services251 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.
254 services223 patients
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.
249 services243 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
190 services185 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150001
Location1125 W Jefferson StFranklin, IN 46131 · Johnson County
Emergency services Birthing friendly

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Rush Memorial Hospital

Critical Access Hospitals · Rushville, IN
OwnershipGovernment - Local
CMS Certification Number151304
Location1300 N Main StRushville, IN 46173 · Rush County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

Physician Assistant
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Nurse Practitioner (Gerontology)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Nurse Practitioner (Adult Health)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Physician Assistant
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237

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 Mark Jones's NPI number?

The NPI number for Mark Jones is 1801867346. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Mark Jones located?

Mark Jones practices at 5330 E Stop 11 Rd, Indianapolis, IN 46237. The listed phone number is (317) 893-1900.

What is Mark Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Jones enrolled in Medicare?

Yes. Mark 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 Mark Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mark 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 Mark Jones affiliated with any hospitals?

According to CMS data, Mark Jones is affiliated with Johnson Memorial Hospital, Franciscan Health Mooresville, Major Hospital, Franciscan Health Indianapolis and Rush Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Jones was last updated on April 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.