DR. JASON JONATHAN JONES M.D.
NPI 1922002872
Ophthalmology in Sioux City, IA

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
4405 HAMILTON BLVD, SIOUX CITY, IA 51104(712) 239-3937(712) 239-4946 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jason Jonathan Jones M.d. NPPES

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

DR. JASON JONATHAN JONES M.D. (NPI 1922002872) is an individual ophthalmology provider in Sioux City, Iowa, licensed in Iowa (35210) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of New York University School Of Medicine (1999).

NPPES Registry Identity

NPI1922002872
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JASON JONATHAN JONESCredential: M.D.
Location Address4405 HAMILTON BLVDSioux City, IA 51104-1140
Mailing Address4405 Hamilton BlvdSioux City, IA 51104-1140 · (712) 239-3937 · Fax (712) 239-4946
Fax(712) 239-4946
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1999
Enumeration DateJune 9, 2005
Last NPPES UpdateApril 7, 2015
✔ NPI 1922002872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in IA · 35210✔ Licensed in SD · 5250
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4405 HAMILTON BLVD, Sioux City, IA 51104

Other Identifiers 15

Medicaid0299354IA
Medicaid1299354IA
Medicaid6300654SD
Medicare PIN102327SD
Medicare PINS41401SD
Medicare PINIB1010001IA
Medicare UPINH93207IA
Medicaid10024952400NE
Medicaid400005600MN
Medicaid6300650SD
Medicaid10025032100NE
Medicaid46044447400NE
Medicaid6300652SD
Medicaid6300653SD
Medicare PINI10324IA

Accepted 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

Dr. Jason Jonathan 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 ID1557356227
PECOS Enrollment IDI20040420001054
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 Jason Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
4405 HAMILTON BLVD
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 3 clinicians in this Medicare group

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 11

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
783 services416 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
711 services382 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
501 services501 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
315 services226 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
186 services184 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.
184 services179 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost53.68

Other Providers at the Same Location NPPES 9

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

Optometrist
4405 HAMILTON BLVD
SIOUX CITY, IA 51104
Ophthalmology
4405 HAMILTON BLVD
SIOUX CITY, IA 51104
Nurse Anesthetist, Certified Registered
4405 HAMILTON BLVD
SIOUX CITY, IA 51104
Ophthalmology
4405 HAMILTON BLVD
SIOUX CITY, IA 51104
Ophthalmology
4405 HAMILTON BLVD
SIOUX CITY, IA 51104
Nurse Anesthetist, Certified Registered
4405 HAMILTON BLVD
SIOUX CITY, IA 51104
Clinic/Center (Ambulatory Surgical)
4405 HAMILTON BLVD
SIOUX CITY, IA 51104
Nurse Anesthetist, Certified Registered
4405 HAMILTON BLVD
SIOUX CITY, IA 51104

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 Jason Jones's NPI number?

The NPI number for Jason Jones is 1922002872. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Jason Jones located?

Jason Jones practices at 4405 Hamilton Blvd, Sioux City, IA 51104. The listed phone number is (712) 239-3937.

What is Jason Jones's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jason Jones enrolled in Medicare?

Yes. Jason 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 Jason Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Jones reassigns Medicare benefits to Jones Eye Center PC (Sioux City, IA). 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 Jason Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 5 other insurers list Jason 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 Jason Jones affiliated with any hospitals?

According to CMS data, Jason Jones is affiliated with St Lukes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Jones was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.