DR. DAVID ANTHONY JONES (MD) – Family Medicine Physician, NPI 1942292412
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
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Provider Addresses for DR. DAVID ANTHONY JONES (MD)
1770, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States
SUITE 305
DECATUR, IL 625213836
Phone: (217) 424-9193
Fax: (217) 424-9195
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (895 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20051012001097 | I | Family Practice | IL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 212 | 115 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 22 | $0 |
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 15 | 15 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 15 | 15 | $0 |
Insurance plans in this area (ZIP 62521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Internal Medicine | MI | |
| Hematology/Oncology, Hospice/Palliative Care | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | CT |
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