DR. MICHAEL D JONES MD
NPI 1972523991
Obstetrics & Gynecology in Mexico, MO

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 9, 2025, Apr 15, 2024, Nov 21, 2023 and 2 more (5 updates tracked since 2022).

About Dr. Michael D Jones Md NPPES

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

DR. MICHAEL D JONES MD (NPI 1972523991) is an individual obstetrics & gynecology provider in Mexico, Missouri, licensed in Missouri (36175) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1972523991
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHAEL D JONESCredential: MD
Location Address340 KELLEY PKWYMexico, MO 65265-3811
Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212
Fax(573) 582-1212
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1980
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 9, 20255 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1972523991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 36175
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 36175 (MO)
340 KELLEY PKWY, Mexico, MO 65265

Secondary Practice Location 1

Location 12101 Corona Rd Ste 102Columbia, MO 65203-2582 · Phone (573) 234-1800

Other Identifiers 1

Medicaid502427404MO

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. Michael D Jones Md 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 ID2668527961
PECOS Enrollment IDI20090910000502
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 Reassignments

8

Medicare enrollment records show Michael Jones reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
340 KELLEY PARKWAY
Mexico, MO 65265
  • Reassigned Medicare billing, Missouri enrollment
  • 49 clinicians in this Medicare group
Geriatric Medicine
2101 CORONA RD STE 102
Columbia, MO 65203
  • Reassigned Medicare billing, Missouri enrollment
  • 58 clinicians in this Medicare group
Geriatric Medicine
2101 CORONA RD STE 102
Columbia, MO 65203
  • Reassigned Medicare billing, Missouri enrollment
  • 51 clinicians in this Medicare group
Rural Health
405 E STATE
Pleasant Hill, IL 62366
  • Reassigned Medicare billing, Illinois enrollment
  • 252 clinicians in this Medicare group
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 363 clinicians in this Medicare group
Internal Medicine
400 SW LONGVIEW BLVD STE 200
Lees Summit, MO 64081
  • Reassigned Medicare billing, Missouri enrollment
  • 183 clinicians in this Medicare group
Family Medicine
400 SW LONGVIEW BLVD STE 200
Lees Summit, MO 64081
  • Reassigned Medicare billing, Missouri enrollment
  • 218 clinicians in this Medicare group
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 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 9

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,025 services169 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
624 services116 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
541 services107 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
362 services144 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
245 services76 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
125 services66 patients

Hospital Affiliations CMS Care Compare 3

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

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65265 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims32 services$5.61 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers42 claims42 services$23.19 avg. paid by Medicare
Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
1 supplier33 claims330 services$4.61 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers60 claims720 services$2.03 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$4.41 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers55 claims66 services$8.78 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.

Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Nurse Practitioner (Family)
340 KELLEY PKWY
MEXICO, MO 65265
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Dentist (Periodontics)
340 KELLEY PKWY
MEXICO, MO 65265
Psychologist (Rehabilitation)
340 KELLEY PKWY
MEXICO, MO 65265
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Nurse Practitioner (Psychiatric/Mental Health)
340 KELLEY PKWY
MEXICO, MO 65265
Pharmacist
340 KELLEY PKWY
MEXICO, MO 65265

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 Michael Jones's NPI number?

The NPI number for Michael Jones is 1972523991. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Michael Jones located?

Michael Jones practices at 340 Kelley Pkwy, Mexico, MO 65265. The listed phone number is (573) 582-1234.

What is Michael Jones's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Jones enrolled in Medicare?

Yes. Michael 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 organizations bill Medicare for Michael Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jones reassigns Medicare benefits to 8 organizations: East Central Missouri Behavioral Health Services, Inc (Mexico, MO), Barnes Health Care Management Group LLC (Columbia, MO), Barnes Health LLC (Columbia, MO), Quincy Physicians & Surgeons Clinic, PLLC (Pleasant Hill, IL), Blessing Hospital (Quincy, IL) and 3 more organizations, listed in the Medicare section above. Each 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 Michael Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Jones accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Michael 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 Michael Jones affiliated with any hospitals?

According to CMS data, Michael Jones is affiliated with Hannibal Regional Hospital, Boone Hospital Center and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Michael Jones was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.