Theresa Ellen Jones, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2004001643 Issued in MO

Practice address

12255 De Paul Dr Ste 360
Bridgeton, MO 63044-2513

Phone

(314) 739-9293

Fax

(314) 739-3968

NPI assigned

Aug 25, 2006

Last updated

Jan 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Ophthalmology

Education

University of Chicago, Pritzker School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Eye Care and Surgery IncGroup PAC ID 3577504471, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• IA HMO C-SNP
• IA HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Eye Care and Surgery Inc.

  • Ophthalmology Physician
  • Bridgeton, MO
  • NPI 1417065129
  Medicare reassignment Care Compare group NPD Authorized official
• Charles a Sigmund MD Inc

  • Ophthalmology Physician
  • Bridgeton, MO
  • NPI 1194832402
  NPD (past)
• Horizon Behavioral Health LLC

  • Psychiatry Physician
  • Bridgeton, MO
  • NPI 1033181037
  NPD (past)

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

• SSM Health Care St. Louis

  dba SSM Health DePaul Hospital - St. Louis

  • General Acute Care Hospital
  • Bridgeton, MO
  • NPI 1598835308
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1053428771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR STE 360",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442513",
            "telephone_number": "314-739-9293",
            "fax_number": "314-739-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR STE 360",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442513",
            "telephone_number": "314-739-9293",
            "fax_number": "314-739-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "THERESA",
        "middle_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2004001643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207538109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Jones, BSW
• Larhonda R Jones, M.D.
• Megan Jones, RD, LD
• Quincy Jones
• Rachel M Jones
• Vanessa Jones, MSW
• Joseph J Drago DPM
• Leslie Joseph, DPM
• Joule N Stevenson MD LLC
• Aida Junuzovic

• Ophthalmology Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.