Active NPI 1114974110 Individual Practitioner Female Practitioner

Dr. Nicolette M. Jones , MD

Urology • Gallipolis, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nicolette Jones, MD is a certified Urology practicing in Gallipolis, OH. With approximately 34 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1992, Dr. Jones delivers high-quality medical care to the local community at 100 JACKSON PIKE.

Dr. Jones is affiliated with Holzer Clinic Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Jackson Pike

Gallipolis, OH 456311560

Telephone 7404465415

Fax 7404465958

Associated Practice Facility / Clinic

🏢 Holzer Clinic, Llc Facility NPI 1508817248

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Gallipolis, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Gallipolis, OH (564 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (34 Years) 34 Yrs

Gallipolis Specialty Average (34.0 Years) 34.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	126	100	$88.00	$63.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	69	$135.00	$92.89
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	96	82	$39.00	$15.80
52000 Diagnostic exam of bladder and urethra using an endoscope	26	18	$1199.00	$76.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	145	$84.72	$64.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	75	$129.00	$95.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$300.00	$131.00
52000 Diagnostic exam of bladder and urethra using an endoscope	41	36	$1142.00	$78.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$73.00	$34.92
51701 Insertion of temporary bladder tube	15	14	$107.00	$25.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$172.00	$81.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	165	$81.94	$66.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	98	$122.74	$97.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$281.26	$134.71
52000 Diagnostic exam of bladder and urethra using an endoscope	32	26	$1088.00	$79.17
51701 Insertion of temporary bladder tube	18	13	$102.00	$26.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$66.75	$36.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$159.82	$83.21

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	260	174	$117.36	$98.81
99213 Established patient office or other outpatient visit, typically 15 minutes	235	183	$77.00	$66.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$194.00	$135.36
52000 Diagnostic exam of bladder and urethra using an endoscope	67	55	$1037.00	$79.65
52005 Insertion of tube into ureter using an endoscope through bladder area	36	15	$1766.00	$67.88
51702 Simple insertion of temporary bladder tube	34	26	$155.65	$25.19
51701 Insertion of temporary bladder tube	33	29	$98.00	$25.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$135.00	$83.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$63.00	$35.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	288	225	$74.27	$51.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	123	$112.35	$79.37
52000 Diagnostic exam of bladder and urethra using an endoscope	63	49	$988.00	$82.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$185.00	$130.41
52005 Insertion of tube into ureter using an endoscope through bladder area	29	16	$1972.00	$74.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$60.00	$26.04
51701 Insertion of temporary bladder tube	26	22	$94.00	$27.21
99441 Telephone medical discussion with physician, 5-10 minutes	16	14	$67.00	$25.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$129.00	$76.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	400	309	$71.55	$50.65
81000 Manual urinalysis test with examination using microscope, non-automated	246	186	$48.00	$3.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	132	$107.80	$78.09
52000 Diagnostic exam of bladder and urethra using an endoscope	107	89	$941.00	$82.36
52005 Insertion of tube into ureter using an endoscope through bladder area	72	37	$1846.75	$82.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$177.00	$128.07
81000 Manual urinalysis test with examination using microscope, non-automated	52	40	$48.00	$3.36
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$86.87	$45.93
51701 Insertion of temporary bladder tube	41	35	$94.34	$25.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$58.00	$25.34
51702 Simple insertion of temporary bladder tube	34	12	$90.00	$25.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$126.38	$74.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$123.00	$75.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	418	293	$68.33	$50.28
81000 Manual urinalysis test with examination using microscope, non-automated	208	160	$46.00	$3.96
99213 Established patient office or other outpatient visit, typically 15 minutes	112	91	$74.25	$48.15
52000 Diagnostic exam of bladder and urethra using an endoscope	91	69	$892.04	$82.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	53	$101.00	$76.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	52	$56.95	$24.94
52005 Insertion of tube into ureter using an endoscope through bladder area	57	30	$1526.00	$63.31
81000 Manual urinalysis test with examination using microscope, non-automated	48	40	$46.00	$3.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$169.00	$127.03
51701 Insertion of temporary bladder tube	30	27	$86.00	$25.72
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$93.37	$49.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$113.24	$70.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$118.00	$75.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	613	391	$65.32	$49.81
99213 Established patient office or other outpatient visit, typically 15 minutes	133	109	$71.45	$48.84
52000 Diagnostic exam of bladder and urethra using an endoscope	119	88	$850.39	$100.30
52005 Insertion of tube into ureter using an endoscope through bladder area	93	43	$1453.00	$47.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	75	$96.00	$76.73
51702 Simple insertion of temporary bladder tube	77	15	$82.00	$25.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	64	$53.00	$24.89
51701 Insertion of temporary bladder tube	57	46	$82.00	$25.67
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$86.00	$49.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$115.45	$75.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$161.00	$126.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$96.00	$76.84
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	11	$2347.53	$130.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$59.75	$24.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	13	$253.94	$31.88
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	14	12	$2051.00	$246.01
55700 Biopsy of prostate gland	11	11	$744.91	$131.21

Medical Specialties & State Licenses

CMS Verified: 2021-01-21

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35.074405

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License WV 20360

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2065465 (OH)

Medicaid State Provider ID

0130533000 (WV)

Commercial Insurance / Payer ID Mountain State Bcbs

001714105

Commercial Insurance / Payer ID Rr Medicare

340015105

Commercial Insurance / Payer ID Anthem Bcbs

000000007133

Commercial Insurance / Payer ID Unison Medicaid

000000185208 (OH)

Commercial Insurance / Payer ID Caresource Medicaid

310917085125 (OH)

Commercial Insurance / Payer ID Molina Medicaid

2065465 (OH)

Hospital & Practice Group Affiliations

Holzer Clinic Llc

100 Jackson Pike, Gallipolis, OH 456311560

Phone: 7404465050

Practice Associates & Co-Workers

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

9 Associated Practitioners

Shelbadene Dawson , CNP

Nurse Practitioner

NPI 1144246422

Certified Nurse Practitioner

Dr. Charles Crigger , MD

Otolaryngology

NPI 1386640662

Doctor of Medicine (M.D.)

Dr. Lawrence Yodlowski , MD

Urology

NPI 1386685345

Doctor of Medicine (M.D.)

Dr. Kimberly Jones , AuD

Audiologist

NPI 1447270160

Doctor of Audiology

Dr. Amanda Goodrich , AuD

Audiologist

NPI 1447771605

Doctor of Audiology

Dr. James Magnussen , MD

Otolaryngology

NPI 1497709018

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2021

Urology (License #35.074405 in OH)

📍

Updated Practice Location February 19, 2018

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465415)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2018

Urology (License #35.074405 in OH)

✅

NPI Profile Active February 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2014

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465415)

📍

Updated Business Mailing Address February 04, 2014

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465415)

👤

Provider Name / Credentials Updated February 04, 2014

Recorded as NICOLETTE JONES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2014

Urology (License #35-07-4405 in OH)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1114974110

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: January 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

90 Jackson Pike

Gallipolis, OH 456311560

Phone: 7404465415

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.