JEFFREY J JONES MD
NPI 1881749935
Hospitalist in Oshkosh, WI

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2025, Jun 8, 2022 (2 updates tracked since 2022).

About Jeffrey J Jones Md NPPES

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

JEFFREY J JONES MD (NPI 1881749935) is an individual hospitalist provider in Oshkosh, Wisconsin, licensed in Wisconsin (38027) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains a secondary practice location in Stevens Point.

NPPES Registry Identity

NPI1881749935
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJEFFREY J JONESCredential: MD
Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1995
Enumeration DateJanuary 25, 2007
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1881749935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 38027
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 38027 (WI)
855 N WESTHAVEN DR, Oshkosh, WI 54904

Secondary Practice Location 1

Location 15409 Vern Holmes DrStevens Point, WI 54482-8853 · Phone (715) 342-6051

Other Identifiers 1

Medicaid32285600WI

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 and accepts Medicare assignment

Jeffrey J Jones Md 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 ID2163473364
PECOS Enrollment IDI20050204000457
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
193 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Pharmacist
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Physician Assistant
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Internal Medicine (Hematology & Oncology)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Physical Therapist
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Registered Nurse
855 N WESTHAVEN DR
OSHKOSH, WI 54904

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 1881749935. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Jeffrey Jones located?

Jeffrey Jones practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Jeffrey Jones's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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 CareSource (Common Ground Healthcare) 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 Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Jeffrey Jones was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.