Individual provider Active NPI

Kevin Bruce Jones, M.D.

  • Family Medicine Physician
  • Mineral Wells, TX
National Provider Identifier
1003913468
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5231 Issued in TX
Practice address
214 SW 26TH Ave
Suite C
Mineral Wells, TX 76067-8249
Phone
(940) 325-4426
Fax
(940) 325-7727
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5231 TX Primary

Addresses

Primary practice location

214 SW 26TH Ave
Suite C
Mineral Wells, TX 76067-8249

Mailing address

214 SW 26TH Ave
Suite C
Mineral Wells, TX 76067-8249
Phone (940) 325-4426

Other identifiers 1

IdentifierTypeStateIssuer
035423501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000884 TX Practitioner - Family Practice 8729113857 Practice locations: Mineral Wells, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 SW 26TH Ave
Suite C
Mineral Wells, TX 76067-8249

214 Sw26Th Ave C
Mineral Wells, TX 76067-8249
Phone (940) 325-4426

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Plano, TX, CCN 678210
  • Angels Care Home Health Home health agency, Weatherford, TX, CCN 677099
  • Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as individual
Quality
89.22
Improvement activities
40
Cost
75.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions46
Removal or shaving of skin growth1-10
Skin biopsy19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003913468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE",
            "address_2": "SUITE C",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249",
            "telephone_number": "940-325-4426",
            "fax_number": "940-325-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE",
            "address_2": "SUITE C",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249",
            "telephone_number": "940-325-4426",
            "fax_number": "940-325-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEVIN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035423501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.