BENJAMIN L JONES PA-C
NPI 1952829343
Physician Assistant in Pueblo, CO

Active since September 06, 2017PECOS EnrolledAccepts Medicare Assignment
400 W 16TH ST, PUEBLO, CO 81003(719) 584-4306(719) 595-7886 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jul 1, 2021, Nov 14, 2019 (3 updates tracked since 2019).

About Benjamin L Jones Pa-c NPPES

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

BENJAMIN L JONES PA-C (NPI 1952829343) is an individual physician assistant in Pueblo, Colorado, licensed in Colorado (PA.0005786) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952829343
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN L JONESCredential: PA-C
Location Address400 W 16TH STPueblo, CO 81003-2781
Mailing AddressPo Box 173891Denver, CO 80217-3891 · (303) 306-7783 · Fax (303) 306-7753
Fax(719) 595-7886
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 6, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1952829343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CO · PA.0005786 Licensed in OH · 50005301RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License LPN.164931.MEDS-IV (OH)
400 W 16TH ST, Pueblo, CO 81003

Secondary Practice Locations 2

Location 1830 W High St Ste 360Lima, OH 45801-3985 · Phone (419) 227-7117
Location 21400 E Boulder StColorado Springs, CO 80909-5533 · Phone (719) 365-6820 · Fax (719) 365-6595

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

Benjamin L Jones Pa-c 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 ID3173889458
PECOS Enrollment IDI20171102003434
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 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.
326 services178 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
172 services166 patients
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.
163 services100 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services26 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$71.28 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 20

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

Dietitian, Registered
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Emergency Medicine
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003

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 Benjamin Jones's NPI number?

The NPI number for Benjamin Jones is 1952829343. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Where is Benjamin Jones located?

Benjamin Jones practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 584-4306.

What is Benjamin Jones's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Jones enrolled in Medicare?

Yes. Benjamin 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 Benjamin Jones accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Benjamin 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 Benjamin Jones affiliated with any hospitals?

According to CMS data, Benjamin Jones is affiliated with Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Jones was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.