DR. DOUGLAS J. JONES (M.D.) – Surgery Physician, NPI 1649287210
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Loading map...
Provider Addresses for DR. DOUGLAS J. JONES (M.D.)
101, West University Avenue, Champaign, Champaign County, Illinois, 61820, United States
CHAMPAIGN, IL 618203909
Phone: (217) 366-1228
Fax: (217) 366-6130
Type: Mailing
Fields South Drive, Champaign, Champaign County, Illinois, 61822, United States
CHAMPAIGN, IL 618223743
Phone: (217) 366-1228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $233,214.
Total Amount is formed as General ($233,214) + Research ($0) + Ownership ($0) = $233,214.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CSL Plasma Inc. ($232,590).
Total Amount
$233,214
General + Research + Ownership
Payments
81
Total payment records
General Amount
$233,214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Plasma Inc. | $232,590 |
| Davol Inc. | $311 |
| Intuitive Surgical, Inc. | $100 |
| Organogenesis Inc. | $78 |
| Integra LifeSciences Corporation | $66 |
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: 2004-04-23
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 |
|---|---|---|---|---|
| I20040423000077 | I | General Surgery | IL | 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 | 60 | 47 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 33 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 38 | 31 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 30 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 61820)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| U R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| - | IL | |
| P O D I A T R Y | IL | |
| - | IL | |
| - | IN | |
| Occupational Therapist In Private Practice | KY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.