Active NPI 1649368911 Individual Practitioner Male Practitioner

Dr. Thomas Robert Jones , MD, PhD

Orthopaedic Surgery • Mankato, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jones, MD, PhD is a certified Orthopaedic Surgery practicing in Mankato, MN. With approximately 21 years of clinical experience since graduating from Emory University School Of Medicine in 2005, Dr. Jones delivers high-quality medical care to the local community at 1431 PREMIER DR.

Dr. Jones maintains professional affiliations with River'S Edge Hospital And Clinic, Orthopaedic And Fracture Clinic, P A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1431 Premier Dr

Mankato, MN 560016076

Telephone 5073866600

Associated Practice Facility / Clinic

🏢 Orthopaedic & Fracture Clinic, P.a. Facility NPI 1659346609

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Mankato, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -0.3 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

21 Specialists

Practicing in Mankato, MN (674 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (21 Years) 21 Yrs

Mankato Specialty Average (21.3 Years) 21.3 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	307	203	$490.33	$123.54
72100 X-ray of lower and sacral spine, 2-3 views	93	70	$188.11	$38.42
99213 Established patient office or other outpatient visit, typically 15 minutes	87	75	$347.03	$87.68
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	58	24	$1315.05	$217.96
72040 X-ray of upper spine, 2-3 views	58	35	$188.03	$38.94
22614 Fusion of additional segment of spine	55	13	$1991.33	$336.44
72148 MRI scan of lower spinal canal	31	30	$854.94	$193.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	13	$1051.86	$181.46
73522 X-ray of both hips, 3-4 views	26	20	$253.23	$53.60
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	23	11	$2015.02	$339.86
72141 MRI scan of upper spinal canal	19	19	$854.26	$189.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$214.00	$53.80
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$7869.78	$1501.29
22846 Placement of stabilizing device to front, 4-7 spine bone segments	11	11	$3872.73	$648.21
20937 Harvest of bone fragment for spine bone graft	11	11	$862.32	$145.00

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	300	204	$471.97	$125.67
99213 Established patient office or other outpatient visit, typically 15 minutes	119	94	$333.08	$86.89
72100 X-ray of lower and sacral spine, 2-3 views	118	92	$180.38	$40.17
72040 X-ray of upper spine, 2-3 views	70	44	$174.83	$39.16
22614 Fusion of additional segment of spine	59	18	$1845.27	$347.21
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	55	24	$1274.95	$228.98
63048 Partial removal of spine bone with release of spinal cord and/or nerves	48	23	$995.21	$187.21
72148 MRI scan of lower spinal canal	42	40	$822.43	$200.67
72141 MRI scan of upper spinal canal	29	29	$820.52	$181.07
73522 X-ray of both hips, 3-4 views	22	15	$243.64	$54.87
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$4820.83	$569.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$204.29	$56.09
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$6868.00	$1054.73
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$3485.00	$642.47
22612 Fusion of spine in lower back	13	13	$7024.38	$1118.37
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$3647.67	$676.77

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	270	185	$446.40	$125.36
72100 X-ray of lower and sacral spine, 2-3 views	120	87	$174.74	$40.35
99213 Established patient office or other outpatient visit, typically 15 minutes	79	69	$315.62	$86.79
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	75	36	$1200.20	$234.65
72040 X-ray of upper spine, 2-3 views	46	31	$172.00	$36.77
63048 Partial removal of spine bone with release of spinal cord and/or nerves	42	23	$994.71	$191.53
73522 X-ray of both hips, 3-4 views	40	27	$235.47	$55.20
22614 Fusion of additional segment of spine	33	20	$1838.03	$355.46
72148 MRI scan of lower spinal canal	31	31	$796.68	$199.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$191.86	$53.68
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	25	24	$6959.08	$1223.42
22845 Placement of stabilizing device to front, 2-3 spine bone segments	25	25	$3566.64	$660.15
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	22	$4533.00	$517.08
22612 Fusion of spine in lower back	21	20	$6860.86	$1413.62
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	21	$3587.52	$694.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$596.05	$164.23
72141 MRI scan of upper spinal canal	18	18	$799.00	$164.14
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	16	12	$1565.75	$284.28
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$222.42	$52.76

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	306	193	$378.98	$127.02
72100 X-ray of lower and sacral spine, 2-3 views	110	75	$169.18	$40.29
99213 Established patient office or other outpatient visit, typically 15 minutes	84	74	$257.43	$91.28
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	73	32	$1186.16	$239.04
63048 Partial removal of spine bone with release of spinal cord and/or nerves	66	34	$950.64	$195.41
72148 MRI scan of lower spinal canal	58	56	$775.00	$209.81
22614 Fusion of additional segment of spine	55	26	$1763.22	$362.28
72040 X-ray of upper spine, 2-3 views	39	28	$166.82	$40.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$155.84	$56.44
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	30	30	$4748.48	$558.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$575.96	$166.47
72141 MRI scan of upper spinal canal	27	27	$775.00	$199.79
73522 X-ray of both hips, 3-4 views	25	18	$228.12	$52.69
22845 Placement of stabilizing device to front, 2-3 spine bone segments	25	24	$4004.60	$671.90
22612 Fusion of spine in lower back	25	25	$6683.64	$1505.30
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	24	24	$6843.50	$971.99
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	22	$3322.89	$707.82
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	21	14	$1548.86	$271.10
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$213.57	$49.18

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	229	163	$366.99	$107.35
99213 Established patient office or other outpatient visit, typically 15 minutes	165	131	$249.36	$73.83
72100 X-ray of lower and sacral spine, 2-3 views	121	80	$151.21	$38.19
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	89	37	$1095.60	$238.89
72040 X-ray of upper spine, 2-3 views	69	41	$150.03	$37.96
72148 MRI scan of lower spinal canal	51	50	$769.41	$218.09
63048 Partial removal of spine bone with release of spinal cord and/or nerves	51	23	$879.75	$197.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$369.81	$102.39
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	34	16	$1686.12	$369.51
72141 MRI scan of upper spinal canal	34	34	$768.50	$210.97
22614 Fusion of additional segment of spine	33	19	$1689.64	$367.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$150.83	$45.26
22845 Placement of stabilizing device to front, 2-3 spine bone segments	26	26	$3948.04	$653.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$492.80	$145.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$4577.69	$566.07
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$199.00	$48.91
22612 Fusion of spine in lower back	20	20	$6505.75	$1397.10
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	20	20	$6385.35	$1099.92
20937 Harvest of bone fragment for spine bone graft	19	18	$818.32	$158.27
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$7078.46	$1604.00
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	17	13	$1388.53	$294.20
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$3194.00	$714.97
72146 Mri scan of middle spinal canal	12	12	$767.00	$169.05
22846 Placement of stabilizing device to front, 4-7 spine bone segments	11	11	$3980.36	$704.86

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	233	172	$355.96	$107.10
99213 Established patient office or other outpatient visit, typically 15 minutes	183	133	$241.66	$73.72
72100 X-ray of lower and sacral spine, 2-3 views	151	96	$142.00	$36.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	83	38	$865.45	$196.46
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	81	36	$1046.37	$237.45
72040 X-ray of upper spine, 2-3 views	79	45	$143.13	$35.59
72148 MRI scan of lower spinal canal	58	58	$877.55	$212.80
22614 Fusion of additional segment of spine	56	27	$1575.91	$368.17
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	35	35	$4539.85	$623.33
22612 Fusion of spine in lower back	28	28	$6343.25	$1472.62
72141 MRI scan of upper spinal canal	28	28	$807.79	$197.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$359.56	$107.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$145.38	$45.10
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	24	13	$1608.75	$372.65
22845 Placement of stabilizing device to front, 2-3 spine bone segments	23	23	$4044.61	$672.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$478.14	$144.86
73521 X-ray of both hips, 2 views	22	14	$150.00	$38.75
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	22	$3102.32	$719.41
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	21	17	$1324.29	$276.64
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	21	21	$6166.80	$1209.48
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$199.00	$51.58
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$11744.06	$1612.16
20937 Harvest of bone fragment for spine bone graft	13	13	$837.00	$159.19

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	138	98	$345.36	$103.95
72100 X-ray of lower and sacral spine, 2-3 views	97	61	$139.96	$34.10
99213 Established patient office or other outpatient visit, typically 15 minutes	86	63	$232.43	$71.59
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	51	24	$1048.91	$236.20
72148 MRI scan of lower spinal canal	38	36	$1461.00	$209.57
72040 X-ray of upper spine, 2-3 views	37	23	$144.19	$32.57
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	20	$919.40	$196.06
72141 MRI scan of upper spinal canal	28	26	$1455.00	$204.65
22614 Fusion of additional segment of spine	26	15	$1487.96	$361.94
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	24	12	$1579.28	$368.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$4613.17	$628.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$140.47	$43.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$459.26	$137.83
22612 Fusion of spine in lower back	19	19	$6196.16	$1455.95
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$190.00	$46.70
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$2822.50	$704.64
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$4019.43	$674.43
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$6106.75	$1030.32
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$6745.46	$1593.68

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	115	89	$333.70	$104.47
72100 X-ray of lower and sacral spine, 2-3 views	72	45	$142.00	$34.50
99213 Established patient office or other outpatient visit, typically 15 minutes	67	49	$225.73	$71.20
72040 X-ray of upper spine, 2-3 views	46	26	$147.00	$32.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	19	$824.59	$195.11
72148 MRI scan of lower spinal canal	25	25	$1461.00	$164.83
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	12	$1069.48	$227.90
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$4578.17	$574.40
22612 Fusion of spine in lower back	18	18	$6083.46	$1489.15
72141 MRI scan of upper spinal canal	18	18	$1455.00	$147.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$135.50	$43.02
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$190.00	$44.27

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 49466-020

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1649368911 (MN)

Commercial Insurance / Payer ID America's Ppo

1649368911 (MN)

Commercial Insurance / Payer ID Railroad Medicare

1649368911 (MN)

Commercial Insurance / Payer ID Health Partners

1649368911 (MN)

Commercial Insurance / Payer ID Humana

1649368911 (MN)

Commercial Insurance / Payer ID Minnesota Medical License

54143 (MN)

Commercial Insurance / Payer ID Preferred One

1649368911 (MN)

Commercial Insurance / Payer ID Medica/select Care

1649368911 (MN)

Commercial Insurance / Payer ID Wisconsin Medical License

49466-020 (WI)

Commercial Insurance / Payer ID Prime West

1649368911 (MN)

Hospital & Practice Group Affiliations

River's Edge Hospital And Clinic

1900 Sunrise Dr, Saint Peter, MN 560825376

Phone: 5079312200605

Orthopaedic And Fracture Clinic, P A.

1431 Premier Dr, Mankato, MN 560016076

Phone: 5073866600

Practice Associates & Co-Workers

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

35 Associated Practitioners

Abigail Bloch , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1093389959

PHYSICIANASSISTANT

Dr. Scott Allen , MD

Orthopaedic Surgery

NPI 1134573975

Doctor of Medicine (M.D.)

Ireland Lambrecht , ATC

Specialist/Technologist - Athletic Trainer

NPI 1154088144

Certified Athletic Trainer

Dr. Edwin Harrington , MD

Orthopaedic Surgery

NPI 1174598163

Doctor of Medicine (M.D.)

Adam Schmiesing

Physical Therapist

NPI 1194556464

Dr. Allison Petzel , DPT

Physical Therapist

NPI 1225488679

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2013

Registered at 1431 PREMIER DR, MANKATO, MN 560016076 (Tel: 5073866600)

📍

Updated Business Mailing Address September 18, 2013

Registered at 1431 PREMIER DR, MANKATO, MN 560016076 (Tel: 5073866600)

👤

Provider Name / Credentials Updated September 18, 2013

Recorded as THOMAS JONES, MD, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Orthopaedic Surgery (License #49466-020 in WI)

🟢

Initial NPI Registration & Enumeration October 11, 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: 1649368911

Entity Type:

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

Enumeration Date: October 11, 2006

Last Update: September 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1431 Premier Dr

Mankato, MN 560016076

Phone: 5073866600

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.