Individual provider Active NPI

Andrew D Jones, MD

  • Surgery Physician
  • Bend, OR
National Provider Identifier
1861467474
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD25193 Issued in OR
Practice address
2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone
(541) 382-8346
Fax
(541) 382-5796
NPI assigned
Feb 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD25193 OR
Surgery Physician 208600000X MD61412741 WA
Surgery Physician 208600000X MD25193 OR Primary

Addresses

Primary practice location

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281

Mailing address

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone (541) 382-8346

Other practice location 1

1405 SE 164th Ave Ste 100
Vancouver, WA 98683-9644
Phone (800) 834-6362

Other identifiers 2

IdentifierTypeStateIssuer
2242391MedicaidWA
022738MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040803000468 OR Practitioner - General Surgery 2961473020 Reassigns benefits to 1 organization
I20231023001795 WA Practitioner - General Surgery 2961473020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inovia LLCGroup PAC ID 2860592854, 15 clinicians

Practice addresses (Care Compare)

2200 NE Neff Rd
Suite 204
Bend, OR 97701-4281
Phone (541) 382-8346

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
88.93
Promoting interoperability
93
Improvement activities
40
Cost
69.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25193ORMDSurgery Physician
MD61412741WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inovia LLC CurrentSince May 15, 2007 Accepting new patients

Locations

1700 NW 167th Pl
Ste 245
Beaverton, OR 97006
Phone (503) 447-4125

2200 NE Neff Rd
Ste 204
Bend, OR 97701
Phone (541) 382-8346

911 NW 18th Ave
Portland, OR 97209
Phone (503) 227-3666

9200 SE 91st Ave
Ste 200
Portland, OR 97086
Phone (503) 233-5548

7421 SW Bridgeport Rd
Ste 215
Tigard, OR 97224
Phone (503) 620-2400

1405 SE 164th Ave
Ste 100
Vancouver, WA 98683
Phone (360) 614-2537

1405 SE 164th Ave
Ste 101
Vancouver, WA 98683
Phone (360) 253-7666

Interoperability endpoints

  • Direct secure messaging: andrew.jones@ivsc.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1861467474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 SE 164th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839644",
            "country_code": "US",
            "telephone_number": "800-834-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD25193",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61412741",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD25193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2242391",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022738",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.