PHILLIP E. JONES (MD) – Interventional Cardiology Physician, NPI 1043235401
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PHILLIP E. JONES (MD)
Granada Boulevard, Sun 'n Lake of Sebring, Highlands County, Florida, 33872, United States
SUITE 202
SEBRING, FL 338721944
Phone: (863) 471-3926
Fax: (863) 385-3093
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $627.
Total Amount is formed as General ($627) + Research ($0) + Ownership ($0) = $627.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Abbott Laboratories ($547).
Total Amount
$627
General + Research + Ownership
Payments
37
Total payment records
General Amount
$627
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $547 |
| Edwards Lifesciences Corporation | $32 |
| Boston Scientific Corporation | $30 |
| Alkermes, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101208001153 | I | Interventional Cardiology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 255 | 239 | $0 |
| 92928 | Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch | 190 | 126 | $0 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 165 | 158 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 82 | 82 | $0 |
| 93459 | Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 64 | 63 | $0 |
Insurance plans in this area (ZIP 33872)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | FL | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 458 | 266 |
| INTERVENTIONAL CARDIOLOGY | FL | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 356 | 325 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| General Surgery | FL | |
| - | FL | |
| - | FL | |
| General Surgery | NJ | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Critical Care (Intensivists) | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| O T O L A R Y N G O L O G Y | FL |
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