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ROBERT CALVIN JONES M.D.
NPI 1801929971
Surgery in Sumter, SC

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
115 N SUMTER ST, SUITE 300, SUMTER, SC 29150(803) 775-1550(803) 775-5276 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2019, May 12, 2016 (2 updates tracked since 2016).

About Robert Calvin Jones M.d. NPPES

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

ROBERT CALVIN JONES M.D. (NPI 1801929971) is an individual surgery provider in Sumter, South Carolina, licensed in South Carolina (26962) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Tuomey Hospital, and is a graduate of University Of South Carolina School Of Medicine (2007).

NPPES Registry Identity

NPI1801929971
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROBERT CALVIN JONESCredential: M.D.
Location Address115 N SUMTER ST, SUITE 300Sumter, SC 29150-4972
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7303 · Fax (803) 296-7330
Phone(803) 775-1550
Fax(803) 775-5276
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2007
Enumeration DateMarch 14, 2007
Last NPPES UpdateJanuary 9, 20192 updates tracked since enumeration
✔ NPI 1801929971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 26962
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
115 N SUMTER ST, Sumter, SC 29150
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Other Identifiers 1

Medicaid269621SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.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

Robert Calvin 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 ID7810020484
PECOS Enrollment IDI20100803000502
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 8

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 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.
123 services99 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
94 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
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.
30 services25 patients
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.
21 services17 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.59 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 20

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

TUOMEY MEDICAL PROFESSIONALS, INC
Obstetrics & Gynecology
115 N SUMTER ST, SUITE 200
SUMTER, SC 29150
Sumter County (803) 775-8351
TUOMEY SURGICAL SERVICES LLC
Specialist
115 N SUMTER ST, SUITE 300
SUMTER, SC 29150
Sumter County (803) 778-0212
DR. GEORGE M SMITH M.D.
Obstetrics & Gynecology
115 N SUMTER ST, SUITE 200
SUMTER, SC 29150
Sumter County (803) 775-8351
MANUEL F GONZALEZ M.D
Specialist
115 N SUMTER ST, SUITE 305
SUMTER, SC 29150
Sumter County (803) 934-8348
M FRANCISCO GONZALEZ, MD, PA
Internal Medicine (Hematology & Oncology)
115 N SUMTER ST, SUITE 305
SUMTER, SC 29150
Sumter County (803) 934-8348
TUOMEY MEDICAL PROFESSIONALS, INC.
Plastic Surgery
115 N SUMTER ST, SUITE 115
SUMTER, SC 29150
Sumter County (803) 774-7546
SUMTER SURGICAL ASSOCIATE
Specialist
115 N SUMTER ST, SUITE 300
SUMTER, SC 29150
Sumter County (803) 778-0212
MS. CARLA MICHELLE FOLEY NP-C
Nurse Practitioner (Family)
115 N SUMTER ST, SUITE 115
SUMTER, SC 29150
Sumter County (803) 774-7546

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 Robert Jones's NPI number?

The NPI number for Robert Jones is 1801929971. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Robert Jones located?

Robert Jones practices at 115 N Sumter St Suite 300, Sumter, SC 29150. The listed phone number is (803) 775-1550.

What is Robert Jones's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Jones enrolled in Medicare?

Yes. Robert 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 Robert Jones accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Robert 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 Robert Jones affiliated with any hospitals?

According to CMS data, Robert Jones is affiliated with Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Robert Jones was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.