MARK R. JONES MD
NPI 1851386767
Radiology - Radiation Oncology in Louisville, KY

Active since September 16, 2005PECOS Enrolled
4500 CHURCHMAN AVE, SUITE 100, LOUISVILLE, KY 40215(502) 363-3100(502) 363-1110 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2016, Nov 14, 2016, Nov 9, 2016 (3 updates tracked since 2016).

About Mark R. Jones Md NPPES

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

MARK R. JONES MD (NPI 1851386767) is an individual radiation oncology provider in Louisville, Kentucky, licensed in Kentucky (30394) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851386767
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameMARK R. JONESCredential: MD
Location Address4500 CHURCHMAN AVE, SUITE 100Louisville, KY 40215-1143
Mailing Address2234 Colonial BlvdFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(502) 363-1110
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateMarch 8, 20173 updates tracked since enumeration
NPI 1851386767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in KY · 30394
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4500 CHURCHMAN AVE, Louisville, KY 40215

Other Identifiers 19

Other000000039660KY · Anthem Bcbs Prov. #
Other2092988KY · Aetna Hmo #
Other1178107KY · Gateway Health
Other2092988KY · Aetna
Medicare PINK218680KY
Other598967KY · Sterling Health
Other4541164KY · Cigna
Other000001043251KY · Anthem Bcbs
Other4541164KY · Cigna - Lko
Other1052405KY · Passport Health Prov. #
Other4675796KY · Aetna Other #
OtherP01778546KY · Rr Medicare
Medicaid64303944KY
Other1052404KY · Passport Health Grp #
Medicare UPINF10758KY
Other92004007KY · Railroad Medicare
Other50115896FL · University Healthcare
Medicare ID-Type Unspecified0748602KY
Medicaid200833760IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark R. 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 21

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
1,444 services120 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
386 services103 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
346 services118 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
168 services106 patients
Design and construction of radiation treatment device for high precision radiation therapy 77338
A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.
108 services87 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
100 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
21%70 patients1/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
5%155 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
78%121 patients4/55-star benchmark: 85%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
77%121 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%165 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
35%165 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%165 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 121 patients
1%121 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
4500 CHURCHMAN AVE, SUITE 101
LOUISVILLE, KY 40215
Pediatrics
4500 CHURCHMAN AVE, SUITE 200
LOUISVILLE, KY 40215
Radiology (Radiation Oncology)
4500 CHURCHMAN AVE, SUITE 100
LOUISVILLE, KY 40215
Internal Medicine
4500 CHURCHMAN AVE, #101
LOUISVILLE, KY 40215
Internal Medicine
4500 CHURCHMAN AVE, 200 PLAZA 3
LOUISVILLE, KY 40215
Clinic/Center (Methadone)
4500 CHURCHMAN AVE
LOUISVILLE, KY 40215

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 Mark Jones's NPI number?

The NPI number for Mark Jones is 1851386767. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Mark Jones located?

Mark Jones practices at 4500 Churchman Ave Suite 100, Louisville, KY 40215. The listed phone number is (502) 363-3100.

What is Mark Jones's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Mark Jones enrolled in Medicare?

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

What insurance does Mark Jones accept?

Health plans from CareSource list Mark 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 Mark Jones was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.