ANDREW JONES DO
NPI 1922528090
Family Medicine in Austin, TX

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1101 CAMINO LA COSTA, AUSTIN, TX 78752(512) 478-4939 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2020, Jun 21, 2017 (2 updates tracked since 2017).

About Andrew Jones Do NPPES

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

ANDREW JONES DO (NPI 1922528090) is an individual family medicine provider in Austin, Texas, licensed in Texas (S7249) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922528090
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW JONESCredential: DO
Location Address1101 CAMINO LA COSTAAustin, TX 78752-3930
Mailing Address1101 Camino La CostaAustin, TX 78752-3930 · (512) 478-4939
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2017
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1922528090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · S7249
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1101 CAMINO LA COSTA, Austin, TX 78752

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

Andrew Jones Do 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 ID1254755929
PECOS Enrollment IDI20200728002372
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 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 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.
162 services63 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
42 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
37 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78752 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
35%214 patients2/55-star benchmark: 100%
Breast Cancer Screening
70%165 patients4/55-star benchmark: 93%
Cervical Cancer Screening
70%234 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
48%42 patients
Closing the Referral Loop: Receipt of Specialist Report
31%319 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
50%368 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
71%300 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
68%22 patients3/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
61%188 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
12%173 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%173 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,777 patients4/55-star benchmark: 100%
e-Prescribing
98%2,129 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
14%204 patients1/55-star benchmark: 100%
HIV Screening
39%643 patients3/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
46%440 patients2/55-star benchmark: 98%
Optimal Asthma Control
Patients adultCtrlNoExacRisk: 0% · 27 patients
Patients adultsNoRiskExac: 0% · 27 patients
Patients adultsWellCtrl: 0% · 27 patients
0%33 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%784 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
84%580 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%916 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 711 patients
Patients screened: 99% · 711 patients
66%87 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 23% · 444 patients
Patients screened: 26% · 444 patients
25%20 patients
Provide Patients Electronic Access to Their Health Information
83%661 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
66%99 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
91%231 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 236 patients
Patients totalRate: 11% · 240 patients
12%240 patients3/55-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 20

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

Internal Medicine
1101 CAMINO LA COSTA
AUSTIN, TX 78752
Nutritionist
1101 CAMINO LA COSTA
AUSTIN, TX 78752
Pediatrics (Adolescent Medicine)
1101 CAMINO LA COSTA
AUSTIN, TX 78752
Case Manager/Care Coordinator
1101 CAMINO LA COSTA
AUSTIN, TX 78752
Internal Medicine
1101 CAMINO LA COSTA
AUSTIN, TX 78752
Nurse Practitioner (Family)
1101 CAMINO LA COSTA
AUSTIN, TX 78752
Dietitian, Registered
1101 CAMINO LA COSTA
AUSTIN, TX 78752
Pediatrics
1101 CAMINO LA COSTA
AUSTIN, TX 78752

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 Andrew Jones's NPI number?

The NPI number for Andrew Jones is 1922528090. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Andrew Jones located?

Andrew Jones practices at 1101 Camino La Costa, Austin, TX 78752. The listed phone number is (512) 478-4939.

What is Andrew Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Jones enrolled in Medicare?

Yes. Andrew 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 Andrew Jones accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Andrew 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 Andrew Jones affiliated with any hospitals?

According to CMS data, Andrew Jones is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Andrew Jones was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.