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ERIN JONES
NPI 1851035893
Optometrist in Decatur, AL

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment
201 6TH AVE SE, DECATUR, AL 35601(256) 351-0040 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2025, Apr 26, 2022 (2 updates tracked since 2022).

About Erin Jones NPPES

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

ERIN JONES (NPI 1851035893) is an individual optometrist in Decatur, Alabama, licensed in Alabama (R-351-TA-D50) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851035893
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameERIN JONES
Location Address201 6TH AVE SEDecatur, AL 35601-3115
Mailing Address201 6th Ave SeDecatur, AL 35601-3115 · (256) 351-0040
Phone(256) 351-0040
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2022
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1851035893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · R-351-TA-D50
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
201 6TH AVE SE, Decatur, AL 35601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Jones 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 ID3678953015
PECOS Enrollment IDI20250304001241
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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Star Optometry Al, LLC
14 mi
Optometrist
110 COLLEGE ST STE B
Athens, AL 35611
  • Reassigned Medicare billing, Alabama enrollment
  • 15 clinicians in this Medicare group
NPI 1528841954 (256) 233-2393

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
55 services53 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.
49 services28 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
41 services41 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
23 services14 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
22 services13 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 5

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

DR. DOUGLAS L. MANN III PC
Optometrist
201 6TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-0040
DECATUR OPTICAL DISPENSARY
Eyewear Supplier
201 6TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-0040
PATHWAY EYE DECATUR, LLC
Optometrist
201 6TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-0040
DECATUR OPTICAL DISPENSARY
Eyewear Supplier
201 6TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-0040
STAR OPTOMETRY AL, LLC
Optometrist
201 6TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-0040

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 Erin Jones's NPI number?

The NPI number for Erin Jones is 1851035893. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Erin Jones located?

Erin Jones practices at 201 6th Ave SE, Decatur, AL 35601. The listed phone number is (256) 351-0040.

What is Erin Jones's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Erin Jones enrolled in Medicare?

Yes. Erin 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.

Which organization bills Medicare for Erin Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Jones reassigns Medicare benefits to Star Optometry Al, LLC (Athens, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Jones accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama and 11 other insurers list Erin 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.

When was this NPI record last updated?

The NPPES record for Erin Jones was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.