Active NPI 1104909381 Individual Practitioner Male Practitioner

Dr. Charles Graham Jones , MD

Surgery • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Jones, MD is a certified Surgery practicing in Boulder, CO. With approximately 52 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1974, Dr. Jones delivers high-quality medical care to the local community at 4743 ARAPAHOE AVE.

Dr. Jones is affiliated with Boulder Community Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4743 Arapahoe Ave
Suite 100

Boulder, CO 803031113

Telephone 3034432123

Fax 3034439497

Associated Practice Facility / Clinic

🏢 Charles Jones Md Pc Facility NPI 1376557967

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +22.9 yrs vs City Avg

City Avg: 29.1 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Boulder, CO (635 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (52 Years) 52 Yrs

Boulder Specialty Average (29.1 Years) 29.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	125	$253.04	$128.62
99213 Established patient office or other outpatient visit, typically 15 minutes	164	91	$178.35	$90.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$330.18	$166.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	46	$152.30	$77.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	31	$230.71	$115.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$254.38	$128.07
49650 Repair of groin hernia using an endoscope	24	24	$1346.79	$555.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$340.44	$169.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	14	$98.00	$48.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$113.07	$55.49
93923 Complete ultrasound study of arm and leg arteries	12	12	$55.00	$20.91
47562 Removal of gallbladder using an endoscope	11	11	$1285.73	$651.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	105	$236.00	$127.97
99213 Established patient office or other outpatient visit, typically 15 minutes	119	81	$167.00	$90.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$307.00	$165.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	34	$145.00	$77.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$207.00	$110.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	24	$217.00	$118.12
49650 Repair of groin hernia using an endoscope	25	25	$1175.12	$501.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$237.00	$129.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$339.00	$172.17
35301 Removal of blood clot and portion of artery of neck	17	16	$1985.00	$1080.05
47562 Removal of gallbladder using an endoscope	15	15	$1201.00	$610.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	104	$179.00	$131.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	86	59	$173.00	$100.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$276.00	$170.68
99213 Established patient office or other outpatient visit, typically 15 minutes	63	48	$122.00	$93.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	46	$339.00	$199.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$120.00	$71.66
49650 Repair of groin hernia using an endoscope	22	22	$1051.64	$525.39
47562 Removal of gallbladder using an endoscope	18	18	$1060.88	$625.03
35301 Removal of blood clot and portion of artery of neck	16	14	$1889.00	$1117.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$76.00	$58.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$180.00	$113.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	80	$122.00	$94.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	86	$179.00	$133.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	56	$173.00	$104.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$276.00	$173.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	39	$120.00	$70.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	42	$339.00	$203.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$230.00	$137.83
49650 Repair of groin hernia using an endoscope	25	25	$1095.96	$563.54
46221 Removal of external hemorrhoids by rubber banding	23	12	$461.00	$308.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$180.00	$116.12
35301 Removal of blood clot and portion of artery of neck	18	17	$1889.00	$1133.87
47562 Removal of gallbladder using an endoscope	16	16	$1107.00	$680.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$76.00	$58.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$241.00	$182.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	101	$121.79	$77.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	77	$176.33	$111.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	29	$119.63	$74.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	33	$172.80	$107.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$179.64	$111.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$273.40	$169.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	33	$228.83	$141.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	27	$338.37	$205.52
49650 Repair of groin hernia using an endoscope	28	28	$951.82	$511.37
35301 Removal of blood clot and portion of artery of neck	18	17	$1889.00	$1190.82
47562 Removal of gallbladder using an endoscope	16	16	$1101.00	$695.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$65.75	$40.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$338.17	$212.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$234.73	$146.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	107	$112.00	$75.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	111	$163.00	$110.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$250.00	$167.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	37	$216.00	$139.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	28	$63.00	$40.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	21	$69.00	$46.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$164.00	$109.87
49650 Repair of groin hernia using an endoscope	29	28	$1167.28	$570.13
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$161.00	$100.75
47562 Removal of gallbladder using an endoscope	20	20	$1075.00	$676.74
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$579.00	$333.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$114.00	$74.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$116.00	$54.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$218.00	$148.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$309.00	$211.43
35301 Removal of blood clot and portion of artery of neck	13	13	$1889.00	$1192.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	116	$112.35	$71.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	66	$163.00	$105.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$164.00	$105.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$250.00	$161.35
99221 Initial hospital inpatient care per day, typically 30 minutes	49	47	$161.00	$98.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$69.00	$43.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$216.00	$129.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	25	$63.00	$38.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	18	$114.00	$71.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	21	$579.00	$328.85
49650 Repair of groin hernia using an endoscope	19	19	$1037.84	$507.76
35301 Removal of blood clot and portion of artery of neck	19	16	$1889.00	$1144.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$309.00	$200.87
47562 Removal of gallbladder using an endoscope	16	16	$1075.00	$633.98
76937 Ultrasonic guidance for blood vessel access	15	12	$23.00	$14.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$320.00	$198.64
49560 Repair of incisional or abdominal hernia	13	11	$1204.00	$655.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$116.00	$52.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$218.00	$142.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	112	$112.00	$71.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	102	$163.00	$104.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$250.00	$159.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	60	60	$309.00	$201.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	44	$218.00	$140.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$255.53	$104.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	32	$63.00	$38.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	26	$69.00	$42.14
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$161.00	$99.13
49650 Repair of groin hernia using an endoscope	28	28	$1196.57	$532.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$216.00	$133.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$114.00	$70.38
47562 Removal of gallbladder using an endoscope	20	20	$1075.00	$660.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$116.00	$52.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$579.00	$341.22
35301 Removal of blood clot and portion of artery of neck	14	11	$1889.00	$1151.66
49560 Repair of incisional or abdominal hernia	12	12	$1204.00	$678.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$320.00	$197.74

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0019845

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01198456 (CO)

Hospital & Practice Group Affiliations

Boulder Community Health

4743 Arapahoe Ave, Boulder, CO 803031123

Phone: 3034432123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. Laura Harmon , MD

Surgery - Trauma Surgery

NPI 1053607549

Doctor of Medicine (M.D.)

Nicola Hempel , ACNP-BC

Nurse Practitioner

NPI 1114286440

ACNPBC

James Dougherty , PA

Physician Assistant

NPI 1275597643

Physician Assistant

Sarah Gardner , RPA-C

Physician Assistant - Surgical

NPI 1285879452

RPAC

Emily Mosman , NP

Nurse Practitioner - Family

NPI 1316451677

Nurse Practitioner

Dr. Kyle Marthaller , MD

Surgery

NPI 1417243254

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 4743 ARAPAHOE AVE, SUITE 100, BOULDER, CO 803031113 (Tel: 3034432123)

📍

Updated Business Mailing Address November 09, 2017

Registered at 5450 WESTERN AVE, BOULDER, CO 803012709 (Tel: 3034432123)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as CHARLES JONES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Surgery (License #DR.0019845 in CO)

✅

NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2016

Registered at 4743 ARAPAHOE AVE, SUITE 100, BOULDER, CO 803031113 (Tel: 3034432123)

📍

Updated Business Mailing Address March 28, 2016

Registered at 5450 WESTERN AVE, BOULDER, CO 803012709 (Tel: 3034154770)

👤

Provider Name / Credentials Updated March 28, 2016

Recorded as CHARLES JONES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Surgery (License #DR.0019845 in CO)

🟢

Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104909381

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 23, 2006

Last Update: November 09, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5450 Western Ave

Boulder, CO 803012709

Phone: 3034432123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.