Active NPI 1649287210 Individual Practitioner Male Practitioner

Dr. Douglas J. Jones , MD

Surgery • Champaign, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Jones, MD is a certified Surgery practicing in Champaign, IL. With approximately 28 years of clinical experience since graduating from Morehouse School Of Medicine in 1998, Dr. Jones delivers high-quality medical care to the local community at 3101 FIELDS SOUTH DR.

Dr. Jones is affiliated with Christie Clinic, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3101 Fields South Dr

Champaign, IL 618223743

Telephone 2173661228

Associated Practice Facility / Clinic

🏢 Christie Clinic, Pllc Facility NPI 1295328896

Medicare Profile & Education

Medical School

Morehouse School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Champaign, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +8.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Champaign, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (28 Years) 28 Yrs

Champaign Specialty Average (19.8 Years) 19.8 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	79	58	$49.00	$15.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	36	$252.00	$120.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$393.00	$156.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$109.00	$53.65
36415 Insertion of needle into vein for collection of blood sample	34	33	$32.00	$8.54
80053 Blood test, comprehensive group of blood chemicals	32	31	$111.00	$10.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	31	31	$67.00	$7.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	12	$168.00	$47.97
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$171.00	$86.83
47562 Removal of gallbladder using an endoscope	13	13	$4730.00	$664.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$6600.00	$323.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$495.00	$126.25
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$227.00	$17.49
76937 Ultrasonic guidance for blood vessel access	11	11	$275.00	$13.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$258.00	$100.99
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$445.00	$80.71

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	60	47	$252.00	$121.97
36415 Insertion of needle into vein for collection of blood sample	39	33	$32.00	$8.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	31	$109.00	$54.88
80053 Blood test, comprehensive group of blood chemicals	30	28	$111.00	$10.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$393.00	$163.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	26	$67.00	$7.61
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$171.00	$88.16
47562 Removal of gallbladder using an endoscope	15	15	$4887.67	$675.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$258.00	$103.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$495.00	$129.80

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	52	43	$252.00	$125.90
36415 Insertion of needle into vein for collection of blood sample	33	32	$32.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$171.00	$87.14
80053 Blood test, comprehensive group of blood chemicals	31	31	$111.00	$10.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$393.00	$165.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	28	$67.00	$7.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$109.00	$55.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$258.00	$110.56

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	62	52	$252.00	$128.37
36415 Insertion of needle into vein for collection of blood sample	54	46	$32.00	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$393.00	$162.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	42	$109.00	$55.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	21	$168.00	$38.27
80053 Blood test, comprehensive group of blood chemicals	41	39	$111.00	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	38	$67.00	$7.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$250.00	$71.63
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$171.00	$90.22
47562 Removal of gallbladder using an endoscope	24	24	$4779.27	$665.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$6600.00	$298.88
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$340.00	$101.29
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$227.00	$18.96
49650 Repair of groin hernia using an endoscope	16	16	$4770.31	$438.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$258.00	$111.33

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	85	64	$252.00	$107.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	23	$168.00	$39.95
47562 Removal of gallbladder using an endoscope	32	32	$4803.91	$677.17
36415 Insertion of needle into vein for collection of blood sample	30	27	$32.00	$2.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$109.00	$44.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	27	$67.00	$7.73
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$171.00	$72.26
80053 Blood test, comprehensive group of blood chemicals	25	25	$111.00	$10.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	20	$240.00	$73.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$335.00	$105.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$393.00	$163.87
49650 Repair of groin hernia using an endoscope	11	11	$4840.91	$477.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	72	$171.00	$71.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	23	$168.00	$39.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$259.39	$104.87
36415 Insertion of needle into vein for collection of blood sample	55	43	$29.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	45	$252.00	$103.60
80053 Blood test, comprehensive group of blood chemicals	51	44	$111.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	43	38	$67.00	$8.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	38	$240.00	$72.70
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	31	31	$116.00	$8.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$109.00	$43.71
47562 Removal of gallbladder using an endoscope	21	21	$5011.55	$691.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$227.00	$18.90
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$177.00	$74.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$6600.00	$331.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$231.00	$103.21
99213 Established patient office or other outpatient visit, typically 15 minutes	76	69	$154.00	$69.43
36415 Insertion of needle into vein for collection of blood sample	67	63	$29.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	56	54	$111.00	$12.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	48	$222.00	$101.13
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	55	53	$67.00	$9.34
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	46	46	$116.00	$7.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	21	$168.00	$38.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$109.00	$42.25
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$333.00	$100.96
47562 Removal of gallbladder using an endoscope	25	25	$4708.00	$646.40
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$177.00	$72.58
49650 Repair of groin hernia using an endoscope	19	19	$4077.89	$494.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$238.00	$72.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	79	68	$29.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	77	68	$65.00	$10.33
80053 Blood test, comprehensive group of blood chemicals	74	66	$108.00	$14.03
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$161.00	$71.09
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	59	58	$111.00	$7.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$210.00	$104.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	44	$202.00	$100.94
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$140.00	$68.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	20	$162.00	$38.83
99221 Initial hospital inpatient care per day, typically 30 minutes	33	31	$320.00	$100.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$99.00	$41.63
49650 Repair of groin hernia using an endoscope	18	18	$3559.11	$451.23
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$5132.94	$732.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$218.00	$17.34
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$5598.00	$301.40

Medical Specialties & State Licenses

CMS Verified: 2022-01-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-109246

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

036109246 1 (IL)

Commercial Insurance / Payer ID Railroad Medicare

P00058304

Commercial Insurance / Payer ID Medicare Group

279500

Hospital & Practice Group Affiliations

Christie Clinic, Pllc

3101 Fields S Dr, Champaign, IL 618223743

Phone: 2173664000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jessica Sorensen , PA

Physician Assistant

NPI 1023370699

Physician Assistant

Dr. Nirmal Gokarn , MD

Surgery

NPI 1255607248

Doctor of Medicine (M.D.)

Dr. Frederick Haynes , MD

Surgery

NPI 1861409013

Doctor of Medicine (M.D.)

Dr. Rafael Ruggieri , MD

Surgery

NPI 1932335130

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location November 06, 2020

Registered at 3101 FIELDS SOUTH DR, CHAMPAIGN, IL 618223743 (Tel: 2173661228)

✅

NPI Profile Active October 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2014

Registered at 101 W UNIVERSITY AVE, CHAMPAIGN, IL 618203909 (Tel: 2173661228)

📍

Updated Business Mailing Address October 31, 2014

Registered at 101 W UNIVERSITY AVE, CHAMPAIGN, IL 618203909 (Tel: 2173661228)

👤

Provider Name / Credentials Updated October 31, 2014

Recorded as DOUGLAS JONES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2014

Surgery (License #036-109246 in IL)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1649287210

Entity Type:

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

Enumeration Date: August 03, 2006

Last Update: January 05, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 W University Ave

Champaign, IL 618203909

Phone: 2173661228

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.