KELLY N JONES (MD) – Family Medicine Physician, NPI 1417057779
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for KELLY N JONES (MD)
PO BOX 776084
CHICAGO, IL 606776084
Phone: (636) 893-1356
Fax: (636) 893-1358
Type: Mailing
PO BOX 24397
FORT WORTH, TX 761241397
Phone: (817) 451-4208
Type: Mailing
1512, North Green Mount Road, O'Fallon, Saint Clair County, Illinois, 62269, United States
O FALLON, IL 622691953
Phone: (618) 624-3750
Type: Location
15945 CLAYTON RD STE 310
BALLWIN, MO 630112493
Phone: (636) 893-1356
Fax: (636) 893-1358
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: BioMarin Pharmaceutical Inc. ($90).
Total Amount
$287
General + Research + Ownership
Payments
11
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BioMarin Pharmaceutical Inc. | $90 |
| Abbott Laboratories | $62 |
| Lilly USA, LLC | $44 |
| Amgen Inc. | $24 |
| Lundbeck LLC | $21 |
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: 2024-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061023000362 | I | Emergency Medicine | IL | TBD |
| I20241227001103 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 143 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 39 | $0 |
| 83036 | Hemoglobin a1c level | 36 | 23 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 26 | 21 | $0 |
| G0008 | Administration of influenza virus vaccine | 23 | 23 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Physical Medicine And Rehabilitation | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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