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SHAWN CURTIS JONES M.D.
NPI 1821051152
Otolaryngology in Paducah, KY

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2605 KENTUCKY AVE STE 601, PADUCAH, KY 42003(270) 408-4368(270) 408-3272 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2020, Mar 15, 2018, Aug 18, 2016 (3 updates tracked since 2016).

About Shawn Curtis Jones M.d. NPPES

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

SHAWN CURTIS JONES M.D. (NPI 1821051152) is an individual otolaryngology provider in Paducah, Kentucky, licensed in Kentucky (25500) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and maintains a secondary practice location in Paducah.

NPPES Registry Identity

NPI1821051152
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSHAWN CURTIS JONESCredential: M.D.
Location Address2605 KENTUCKY AVE STE 601Paducah, KY 42003-3806
Mailing Address2700 Stanley Gault Pkwy Ste 129Louisville, KY 40223-5176 · (502) 253-4900 · Fax (502) 489-5751
Phone(270) 408-4368
Fax(270) 408-3272
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1986
Enumeration DateApril 8, 2006
Last NPPES UpdateDecember 7, 20203 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1821051152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in KY · 25500
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2605 KENTUCKY AVE STE 601, Paducah, KY 42003
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Secondary Practice Location 1

Location 12605 Kentucky Ave, Suite 601Paducah, KY 42003-3800 · Phone (270) 408-4368 · Fax (270) 408-3272

Other Identifiers 1

Medicaid64255003KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter 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

Shawn Curtis 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 ID6002711777
PECOS Enrollment IDI20110309000458
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 10

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.

Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
94 services82 patients
Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope 42975
This procedure examines your upper airway for sleep-related breathing issues. An endoscope, a thin tube with a light and camera, is gently inserted through your nose. This allows a detailed view of your airway to identify any abnormalities that could disrupt your sleep.
33 services33 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.
27 services25 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
24 services22 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
17 services17 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642
This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

ASHLEY LYNN SWEETS AU.D
Audiologist
2605 KENTUCKY AVE STE 601
PADUCAH, KY 42003
McCracken County (270) 408-4368
DR. WHITNEY SIZEMORE AU.D., CCC-A
Audiologist
2605 KENTUCKY AVE STE 601
PADUCAH, KY 42003
McCracken County (270) 408-4368
JOHN A BALLERT MD
Otolaryngology (Facial Plastic Surgery)
2605 KENTUCKY AVE STE 601
PADUCAH, KY 42003
McCracken County (270) 408-4368
CATHERINE RUTH ELLEMAN AU.D.
Audiologist
2605 KENTUCKY AVE STE 601
PADUCAH, KY 42003
McCracken County (270) 408-4368

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 Shawn Jones's NPI number?

The NPI number for Shawn Jones is 1821051152. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Shawn Jones located?

Shawn Jones practices at 2605 Kentucky Ave Ste 601, Paducah, KY 42003. The listed phone number is (270) 408-4368.

What is Shawn Jones's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Shawn Jones enrolled in Medicare?

Yes. Shawn 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 Shawn Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Shawn 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 Shawn Jones affiliated with any hospitals?

According to CMS data, Shawn Jones is affiliated with Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Shawn Jones was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.