Active NPI 1962811695 Individual Practitioner Male Practitioner

Joshua Jones , PA-C

Physician Assistant • Edgewood, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Joshua Jones, PA-C is a certified Physician Assistant practicing in Edgewood, NM. With approximately 12 years of clinical experience since completing medical education in 2014, Joshua Jones delivers high-quality medical care to the local community at 1851 OLD US 66.

Joshua Jones is affiliated with Primary Health Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, advance care planning, first, annual wellness visit; includes a personalized prevention plan of service (pps), initial visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1851 Old Us 66

Edgewood, NM 870156784

Telephone 5052862396

Associated Practice Facility / Clinic

🏢 Sandia Mountain Medical, Inc. Facility NPI 1609885243

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edgewood, NM

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +4.7 yrs vs City Avg

City Avg: 7.3 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Edgewood, NM (865 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (12 Years) 12 Yrs

Edgewood Specialty Average (7.3 Years) 7.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

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	90	40	$209.80	$106.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	17	$285.00	$149.84
99497 Advance care planning, first 30 minutes	20	20	$167.00	$70.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$337.00	$131.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	15	15	$36.00	$14.99

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	90	80	$195.40	$89.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$309.06	$136.60
G0444 Annual depression screening, 5 to 15 minutes	24	24	$35.00	$14.81
G0442 Annual alcohol misuse screening, 5 to 15 minutes	24	24	$36.00	$14.81
71046 X-ray of chest, 2 views	14	14	$49.91	$26.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$280.07	$121.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$407.14	$174.26
36415 Insertion of needle into vein for collection of blood sample	14	14	$5.00	$2.98
81003 Automated urinalysis test	11	11	$17.64	$2.23

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	167	156	$183.02	$89.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$299.12	$137.78
81003 Automated urinalysis test	60	59	$22.00	$2.44
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$14.00	$0.54
71046 X-ray of chest, 2 views	39	39	$49.91	$25.65
36415 Insertion of needle into vein for collection of blood sample	37	36	$5.00	$2.86
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$77.00	$14.04
80047 Blood test, basic group of blood chemicals (calcium, ionized)	23	23	$61.00	$12.93
85014 Red blood cell concentration measurement	22	22	$23.00	$2.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$262.00	$121.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$395.07	$173.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$46.00	$13.68

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	155	103	$214.38	$87.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$317.15	$135.06
99213 Established patient office or other outpatient visit, typically 15 minutes	42	29	$156.00	$58.18
81003 Automated urinalysis test	37	35	$20.05	$2.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$231.33	$89.60
36415 Insertion of needle into vein for collection of blood sample	21	21	$5.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	18	$47.96	$16.50
71046 X-ray of chest, 2 views	12	11	$49.91	$24.36

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	105	105	$312.00	$87.97
99213 Established patient office or other outpatient visit, typically 15 minutes	98	67	$245.80	$59.40
J0696 Injection, ceftriaxone sodium, per 250 mg	93	28	$20.00	$0.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	67	15	$3.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	49	$30.49	$20.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	44	$302.04	$87.55
J1885 Injection, ketorolac tromethamine, per 15 mg	48	13	$13.00	$0.64
81003 Automated urinalysis test	24	21	$15.00	$3.02
71020 X-ray of chest, 2 views, front and side	19	18	$85.00	$22.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$318.00	$134.09

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2017-0103

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License TX PA09229

Definition to come...

Hospital & Practice Group Affiliations

Primary Health Physicians Pllc

2310 W University Dr, Denton, TX 762011650

Phone: 9402205901

Primary Health Physicians Pllc

5301 William D Tate Ave, Grapevine, TX 760517357

Phone: 8172512101

Primary Health Physicians Pllc

779 Grapevine Hwy, Hurst, TX 760542805

Phone: 8174287300

Primary Health Physicians Pllc

3751 S I 35, Denton, TX 762106852

Phone: 9403832700

Primary Health Physicians Pllc

1559 W Main St, Lewisville, TX 750673394

Phone: 9724360333

Primary Health Physicians Pllc

5106 N President George Bush Hwy, Garland, TX 750402795

Phone: 9725301900

Primary Health Physicians Pllc

4524 W Bailey Boswell Rd, Fort Worth, TX 761794319

Phone: 8177209685

Primary Health Physicians Pllc

377 W Campbell Rd, Richardson, TX 750803695

Phone: 4692322945

Primary Health Physicians Pllc

345 N Hwy 67, Cedar Hill, TX 751042134

Phone: 9729565300

Primary Health Physicians Pllc

104 S Main St, Keller, TX 762485003

Phone: 2142959385

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Alyssa Mirabal , MD

Family Medicine

NPI 1043773005

Doctor of Medicine (M.D.)

Dr. Carla Rudolph , DO

General Practice

NPI 1104182328

Doctor of Osteopathic Medicine (D.O.)

Ryan Grange , PA

Physician Assistant - Medical

NPI 1295194629

Physician Assistant

Dr. Harry Messec , MD

Family Medicine

NPI 1376512632

Doctor of Medicine (M.D.)

Kelly Ray , PA-C

Physician Assistant

NPI 1609182310

Physician Assistant (Certified)

Dr. Sanford Yankow , MD

Family Medicine

NPI 1699720714

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 15, 2019

Registered at 1851 OLD US 66, EDGEWOOD, NM 870156784 (Tel: 5052862396)

📍

Updated Business Mailing Address November 15, 2019

Registered at 12127B HWY 14 N STE 5, CEDAR CREST, NM 870089557 (Tel: 8173600637)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2019

Physician Assistant (License #PA2017-0103 in NM)

✅

NPI Profile Active August 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2014

Registered at 4800 NE STALLINGS DR, 1500, NACOGDOCHES, TX 759651249 (Tel: 9365683141)

📍

Updated Business Mailing Address August 06, 2014

Registered at 4800 NE STALLINGS DR, 1500, NACOGDOCHES, TX 759651249 (Tel: 9365683141)

👤

Provider Name / Credentials Updated August 06, 2014

Recorded as JOSHUA JONES, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2014

Physician Assistant (License #PA09229 in TX)

🟢

Initial NPI Registration & Enumeration August 06, 2014

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: 1962811695

Entity Type:

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

Enumeration Date: August 06, 2014

Last Update: November 15, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12127b Hwy 14 N Ste 5

Cedar Crest, NM 870089557

Phone: 8173600637

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.