PHILLIP JONES M.D.
NPI 1922204494
Orthopaedic Surgery in Chico, CA

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment
88.93/100
CMS Quality Rating
131 RALEY BLVD, CHICO, CA 95928(530) 897-4500(530) 897-4544 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Oct 26, 2020, Jun 5, 2019 (3 updates tracked since 2019).

About Phillip Jones M.d. NPPES

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

PHILLIP JONES M.D. (NPI 1922204494) is an individual orthopaedic surgery provider in Chico, California, licensed in California (A120284) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1922204494
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePHILLIP JONESCredential: M.D.
Location Address131 RALEY BLVDChico, CA 95928-8347
Mailing Address131 Raley BlvdChico, CA 95928-8347 · (530) 897-4500 · Fax (530) 897-4544
Fax(530) 897-4544
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2007
Enumeration DateJune 22, 2007
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1922204494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A120284
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License A120284 (CA)
131 RALEY BLVD, Chico, CA 95928

Other Identifiers 1

Medicaid01050LA

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

Phillip 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 ID749417756
PECOS Enrollment IDI20140514002498
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 33

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.

Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331
Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.
8,245 services101 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
1,131 services441 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.
650 services436 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
632 services312 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.
609 services437 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
403 services300 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95928 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

88.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.47
Promoting Interoperability100
Improvement Activities40
Cost99.62

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
56%536 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
49%55 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
91%33 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,874 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
65%843 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,457 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
10%2,716 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 964 patients
0%964 patients
Provide Patients Electronic Access to Their Health Information
82%1,039 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
60%50 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 883 patients
Patients totalRate: 0% · 883 patients
0%883 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers29 claims29 services$51.77 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier69 claims81 services$119.93 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier13 claims13 services$423.39 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
1 supplier17 claims18 services$176.95 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier19 claims26 services$55.33 avg. paid by Medicare
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$742.14 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 16

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

Orthopaedic Surgery
131 RALEY BLVD
CHICO, CA 95928
Orthopaedic Surgery
131 RALEY BLVD
CHICO, CA 95928
Orthopaedic Surgery (Foot and Ankle Surgery)
131 RALEY BLVD
CHICO, CA 95928
Orthopaedic Surgery
131 RALEY BLVD
CHICO, CA 95928
Orthopaedic Surgery
131 RALEY BLVD
CHICO, CA 95928
Orthopaedic Surgery
131 RALEY BLVD
CHICO, CA 95928
Orthopaedic Surgery
131 RALEY BLVD
CHICO, CA 95928
Orthopaedic Surgery (Sports Medicine)
131 RALEY BLVD
CHICO, CA 95928

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 Phillip Jones's NPI number?

The NPI number for Phillip Jones is 1922204494. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Phillip Jones located?

Phillip Jones practices at 131 Raley Blvd, Chico, CA 95928. The listed phone number is (530) 897-4500.

What is Phillip Jones's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Phillip Jones enrolled in Medicare?

Yes. Phillip 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.

When was this NPI record last updated?

The NPPES record for Phillip Jones was last updated on June 17, 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.