MARCI JONES MD
NPI 1972578425
Orthopaedic Surgery - Hand Surgery in Worcester, MA

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
281 LINCOLN ST, DEPT OF ORTHOPEDICS, WORCESTER, MA 01605(508) 334-5916(508) 793-6326 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marci Jones Md NPPES

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

MARCI JONES MD (NPI 1972578425) is an individual hand surgery provider in Worcester, Massachusetts, licensed in Massachusetts (227682) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of University Of Vermont College Of Medicine (1994).

NPPES Registry Identity

NPI1972578425
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameMARCI JONESCredential: MD
Location Address281 LINCOLN ST, DEPT OF ORTHOPEDICSWorcester, MA 01605-2138
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 793-6326
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1994
Enumeration DateFebruary 20, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1972578425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in MA · 227682
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
281 LINCOLN ST, Worcester, MA 01605

Other Identifiers 1

Medicaid2120887MA

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

Marci 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 ID6709889025
PECOS Enrollment IDI20060807000029
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 11

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 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.
197 services158 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
111 services111 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
93 services74 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.
90 services79 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
84 services17 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
65 services57 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Audiologist
281 LINCOLN ST
WORCESTER, MA 01605

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 Marci Jones's NPI number?

The NPI number for Marci Jones is 1972578425. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Marci Jones located?

Marci Jones practices at 281 Lincoln St Dept Of Orthopedics, Worcester, MA 01605. The listed phone number is (508) 334-5916.

What is Marci Jones's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Marci Jones enrolled in Medicare?

Yes. Marci 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 Marci Jones accept?

Health plans from Anthem Blue Cross and Blue Shield list Marci 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 Marci Jones affiliated with any hospitals?

According to CMS data, Marci Jones is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Marci Jones was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.