Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAM P JONES IV D.D.S., M.D.
NPI 1932190469
Dentist - Oral and Maxillofacial Surgery in Edmond, OK

Active since November 03, 2005Opted out of Medicare · through Apr 1, 2027
1218 E 9TH ST, SUITE 7, EDMOND, OK 73034(405) 285-7466(405) 285-5166 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sam P Jones Iv D.d.s., M.d. NPPES

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

DR. SAM P JONES IV D.D.S., M.D. (NPI 1932190469) is an individual oral and maxillofacial surgery provider in Edmond, Oklahoma, licensed in Oklahoma (5231) and active in the NPI registry since November 2005. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932190469
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SAM P JONES IVCredential: D.D.S., M.D.
Location Address1218 E 9TH ST, SUITE 7Edmond, OK 73034-5796
Mailing AddressPo Box 108811Oklahoma City, OK 73101-8811 · (405) 848-7974 · Fax (405) 848-0033
Fax(405) 285-5166
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1932190469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in OK · 5231
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1218 E 9TH ST, Edmond, OK 73034

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Sam P Jones Iv D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73034 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

Dermatology
1218 E 9TH ST
EDMOND, OK 73034
Dentist (Oral and Maxillofacial Surgery)
1218 E 9TH ST, SUITE 7
EDMOND, OK 73034
Nurse Practitioner (Adult Health)
1218 E 9TH ST, SUITE 5
EDMOND, OK 73034
Dermatology
1218 E 9TH ST
EDMOND, OK 73034
Nurse Practitioner (Adult Health)
1218 E 9TH ST, SUITE 5
EDMOND, OK 73034
Physician Assistant
1218 E 9TH ST, SUITE 1
EDMOND, OK 73034

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 Sam Jones's NPI number?

The NPI number for Sam Jones is 1932190469. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Sam Jones located?

Sam Jones practices at 1218 E 9th St Suite 7, Edmond, OK 73034. The listed phone number is (405) 285-7466.

What is Sam Jones's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sam Jones enrolled in Medicare?

No. Sam Jones has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sam Jones accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Sam 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 Sam Jones was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.