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ANDREA D JONES M.D.
NPI 1992064109
Family Medicine in Omaha, NE

Active since May 08, 2012PECOS EnrolledAccepts Medicare Assignment
5050 AMES AVE, OMAHA, NE 68104(402) 595-2280(402) 595-2283 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea D Jones M.d. NPPES

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

ANDREA D JONES M.D. (NPI 1992064109) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (27850) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992064109
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA D JONESCredential: M.D.
Location Address5050 AMES AVEOmaha, NE 68104-2323
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102 · (402) 559-6195
Phone(402) 595-2280
Fax(402) 595-2283
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 8, 2012
Last NPPES UpdateMay 25, 2016
✔ NPI 1992064109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · 27850✔ Licensed in NE · 6670
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.
5050 AMES AVE, Omaha, NE 68104
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Other Identifiers 1

Other6670NE · Tep

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Andrea D Jones M.d. 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 ID9436382652
PECOS Enrollment IDI20151113001685
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 8

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 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.
70 services28 patients
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.
54 services23 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.
29 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 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.
16 services16 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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68104 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$13.36 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$26.05 avg. paid by Medicare
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 suppliers25 claims25 services$58.21 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.

CHRISTINE VINCENTINI
Behavior Analyst
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 836-9781
ANGELINA FROHBERG RBT
Behavior Analyst
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 836-9781
MADYSIN FROST
Behavior Technician
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 836-9781
LAUREN CATHERINE ROSENTHAL
Behavior Technician
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 836-9781
MADISON NICOLE KLUTE
Behavior Analyst
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 836-8781
MRS. RACHEL RENAE JOHNSON M.D.
Internal Medicine
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 595-2280
MEGAN CARTER
Behavior Technician
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 836-9781
DR. DANIEL JOSEPH JEFFREY M.D.
Internal Medicine
5050 AMES AVE
OMAHA, NE 68104
Douglas County (402) 595-2280

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 Andrea Jones's NPI number?

The NPI number for Andrea Jones is 1992064109. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Andrea Jones located?

Andrea Jones practices at 5050 Ames Ave, Omaha, NE 68104. The listed phone number is (402) 595-2280.

What is Andrea Jones's specialty?

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

Is Andrea Jones enrolled in Medicare?

Yes. Andrea 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 Andrea Jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Andrea 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 Andrea Jones affiliated with any hospitals?

According to CMS data, Andrea Jones is affiliated with The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Jones was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.