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JEFFREY C JONES M.D.
NPI 1811997992
Family Medicine - Sleep Medicine in Duncan, OK

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
2635 W ELK AVE, DUNCAN, OK 73533(580) 252-6080(580) 470-2966 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Aug 20, 2019 (2 updates tracked since 2019).

About Jeffrey C Jones M.d. NPPES

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

JEFFREY C JONES M.D. (NPI 1811997992) is an individual sleep medicine provider in Duncan, Oklahoma, licensed in Oklahoma (12055) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Duncan Regional Hospital, Inc, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1811997992
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameJEFFREY C JONESCredential: M.D.
Location Address2635 W ELK AVEDuncan, OK 73533-1572
Mailing Address2515 W Elk AveDuncan, OK 73533-1571 · (580) 252-6080 · Fax (580) 255-1064
Phone(580) 252-6080
Fax(580) 470-2966
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 29, 2005
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1811997992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License✔ Licensed in OK · 12055
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 12055 (OK)
2635 W ELK AVE, Duncan, OK 73533
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Jeffrey C 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 ID6901719319
PECOS Enrollment IDI20090316000198
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 7

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.
226 services168 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.
103 services89 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
76 services76 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.
73 services73 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
66 services65 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370023
Location2621 Whisenant DrDuncan, OK 73533 · Stephens County
Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Southwestern Medical Center

Acute Care Hospitals · Lawton, OK
3/5 CMS rating
OwnershipProprietary
CMS Certification Number370097
Location5602 Southwest Lee BoulevardLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Jefferson County Hospital

Critical Access Hospitals · Waurika, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371311
LocationIntersection Hyws 81 & 70Waurika, OK 73573 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73533 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers56 claims126 services$4.77 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers102 claims102 services$42.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers165 claims165 services$111.07 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers93 claims99 services$39.29 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers23 claims38 services$19.66 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers71 claims71 services$67.82 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 6

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

DUNCAN REGIONAL HOSPITAL, INC.
Clinic/Center (Rural Health)
2635 W ELK AVE, STE 100, STE 600
DUNCAN, OK 73533
Stephens County (580) 252-6080
RENAL TREATMENT CENTERS WEST INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2635 W ELK AVE, BLDG 500
DUNCAN, OK 73533
Stephens County (580) 470-8542
CHRISTOPHER M HERNDON M.D.
Family Medicine
2635 W ELK AVE
DUNCAN, OK 73533
Stephens County (580) 252-6080
SHAWN DOUGLAS ROBERTS LPC
Counselor
2635 W ELK AVE
DUNCAN, OK 73533
Stephens County (580) 252-6080
KAILEE ROE DO
Family Medicine
2635 W ELK AVE
DUNCAN, OK 73533
Stephens County (580) 252-6080
EMILY J SCHRICK DNP, APRN, FNP-C
Nurse Practitioner (Family)
2635 W ELK AVE
DUNCAN, OK 73533
Stephens County (580) 252-6080

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 Jeffrey Jones's NPI number?

The NPI number for Jeffrey Jones is 1811997992. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Jeffrey Jones located?

Jeffrey Jones practices at 2635 W Elk Ave, Duncan, OK 73533. The listed phone number is (580) 252-6080.

What is Jeffrey Jones's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Jeffrey Jones enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Jones accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Jeffrey 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 Jeffrey Jones affiliated with any hospitals?

According to CMS data, Jeffrey Jones is affiliated with Duncan Regional Hospital, Inc, Comanche County Memorial Hospital, Southwestern Medical Center and Jefferson County Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Jones was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.