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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAINE JONES MD
NPI 1841291085
Family Medicine in Oneonta, NY

Active since August 10, 2005PECOS Enrolled
86.64/100
CMS Quality Rating
1 FOX CARE DR, SUITE 308, ONEONTA, NY 13820(607) 432-1163(607) 431-5367 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blaine Jones Md NPPES

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

BLAINE JONES MD (NPI 1841291085) is an individual family medicine provider in Oneonta, New York, licensed in New York (190278) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841291085
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBLAINE JONESCredential: MD
Location Address1 FOX CARE DR, SUITE 308Oneonta, NY 13820-2086
Mailing Address1 Fox Care Dr, Suite 308Oneonta, NY 13820-2086 · (607) 432-1163 · Fax (607) 431-5367
Phone(607) 432-1163
Fax(607) 431-5367
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1841291085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 190278
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 FOX CARE DR, Oneonta, NY 13820
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blaine Jones Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.
281 services235 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.
106 services88 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.
73 services72 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13820 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
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.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers197 claims197 services$41.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers245 claims245 services$110.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers290 claims730 services$42.08 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers143 claims718 services$22.65 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers73 claims375 services$17.90 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
10 suppliers218 claims218 services$68.37 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 19

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

DR. TODD BITTERMAN MD
Internal Medicine
1 FOX CARE DR, SUITE 310
ONEONTA, NY 13820
Otsego County (607) 431-5290
OTSEGO MAGNETIC RESONANCE IMAGING CENTER
Specialist
1 FOX CARE DR, SUITE 104
ONEONTA, NY 13820
Otsego County (607) 432-8272
HENRY KEYS MD, PLLC
Radiology (Radiation Oncology)
1 FOX CARE DR, SUITE 310
ONEONTA, NY 13820
Otsego County (607) 431-5475
DR. DAVID EVELYN MD
Family Medicine
1 FOX CARE DR, SUITE 308
ONEONTA, NY 13820
Otsego County (607) 432-1163
DR. TODD CHURCHILL DO
Internal Medicine
1 FOX CARE DR, SUITE 310
ONEONTA, NY 13820
Otsego County (607) 432-6291
MARGARET W. KARL RPH
Pharmacist
1 FOX CARE DR, SUITE 215
ONEONTA, NY 13820
Otsego County (607) 431-5959
BRYAN S EVANCZYK MD INC PC
Obstetrics & Gynecology
1 FOX CARE DR, STE 303
ONEONTA, NY 13820
Otsego County (607) 432-3711
ERNEST R LEVY MD
Neurological Surgery
1 FOX CARE DR, STE 104 FOX CARE CENTER
ONEONTA, NY 13820
Otsego County (607) 432-7178

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 Blaine Jones's NPI number?

The NPI number for Blaine Jones is 1841291085. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Blaine Jones located?

Blaine Jones practices at 1 Fox Care Dr Suite 308, Oneonta, NY 13820. The listed phone number is (607) 432-1163.

What is Blaine Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blaine Jones enrolled in Medicare?

Yes. Blaine Jones is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blaine Jones was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.