Active NPI 1801929971 Individual Practitioner Male Practitioner

Dr. Robert Calvin Jones , MD

Surgery • Sumter, SC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jones, MD is a certified Surgery practicing in Sumter, SC. With approximately 19 years of clinical experience since graduating from University Of South Carolina School Of Medicine in 2007, Dr. Jones delivers high-quality medical care to the local community at 115 N SUMTER ST.

Dr. Jones is affiliated with Prisma Health Medical Group-Midlands and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, 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

115 N Sumter St
Suite 300

Sumter, SC 291504972

Telephone 8037751550

Fax 8037755276

Associated Practice Facility / Clinic

🏢 Palmetto Family Practice, Llc Facility NPI 1558340786

Medicare Profile & Education

Medical School

University Of South Carolina School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sumter, SC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -10.1 yrs vs City Avg

City Avg: 29.1 Yrs

State Avg: 28.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Sumter, SC (681 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (19 Years) 19 Yrs

Sumter 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
99213 Established patient office or other outpatient visit, typically 15 minutes	123	99	$168.00	$89.12
11042 Removal of skin and tissue, 20.0 sq cm or less	94	20	$209.00	$55.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$208.00	$109.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$105.00	$55.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$73.00	$34.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$277.00	$129.74
47562 Removal of gallbladder using an endoscope	12	12	$2297.00	$657.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$407.00	$172.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	89	$145.96	$86.00
11042 Removal of skin and tissue, 20.0 sq cm or less	85	29	$209.00	$54.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$207.06	$105.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	32	$88.32	$53.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$277.00	$122.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$83.00	$47.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$65.62	$34.18
76937 Ultrasonic guidance for blood vessel access	13	13	$41.00	$13.65
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$47.00	$17.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1474.00	$301.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	82	$144.61	$86.97
11042 Removal of skin and tissue, 20.0 sq cm or less	76	23	$209.00	$54.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	23	$149.00	$68.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$207.25	$105.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$277.00	$129.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$86.00	$53.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$65.00	$33.03
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2561.00	$696.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	90	$144.00	$87.99
11042 Removal of skin and tissue, 20.0 sq cm or less	106	24	$209.00	$56.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$207.27	$106.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	34	$277.00	$131.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$86.00	$53.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$149.00	$69.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$65.00	$35.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$83.00	$37.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$209.00	$124.70
76536 Ultrasound of head and neck	16	11	$300.00	$110.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2561.00	$695.95
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$100.00	$65.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$315.00	$161.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	86	$141.89	$72.06
11042 Removal of skin and tissue, 20.0 sq cm or less	103	26	$215.06	$59.42
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	77	12	$69.36	$26.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$206.71	$103.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$207.00	$104.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	22	$85.03	$43.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$64.39	$25.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$267.50	$134.21
76536 Ultrasound of head and neck	15	11	$250.20	$109.26
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2236.75	$712.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	155	44	$217.00	$57.96
99213 Established patient office or other outpatient visit, typically 15 minutes	108	87	$139.00	$69.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$206.00	$102.29
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	62	15	$71.00	$25.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	48	$83.00	$42.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	56	$266.00	$131.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	28	$76.00	$37.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$205.00	$103.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	20	$140.00	$69.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$64.00	$24.51
76536 Ultrasound of head and neck	17	12	$217.00	$107.33
76937 Ultrasonic guidance for blood vessel access	15	15	$28.00	$14.07
47562 Removal of gallbladder using an endoscope	15	15	$1809.17	$613.19
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$37.00	$18.10
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$696.00	$311.49

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	85	85	$163.04	$97.83
99213 Established patient office or other outpatient visit, typically 15 minutes	82	73	$107.96	$66.65
11042 Removal of skin and tissue, 20.0 sq cm or less	81	33	$235.00	$58.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	56	$68.16	$36.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	60	$211.13	$130.44
97597 Removal of tissue from wound, 20.0 sq cm or less	40	17	$96.00	$23.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	21	$84.47	$37.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$161.25	$100.19
11042 Removal of skin and tissue, 20.0 sq cm or less	21	13	$225.67	$47.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$116.00	$69.61
47562 Removal of gallbladder using an endoscope	12	12	$2274.00	$632.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$232.00	$155.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	129	32	$235.00	$57.69
99213 Established patient office or other outpatient visit, typically 15 minutes	114	107	$95.00	$66.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	76	$203.00	$130.74
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	75	12	$66.00	$25.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	47	$67.00	$31.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$162.00	$99.04
97597 Removal of tissue from wound, 20.0 sq cm or less	47	21	$96.00	$22.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$145.00	$98.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	20	$116.00	$69.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	21	$85.00	$37.52
76937 Ultrasonic guidance for blood vessel access	21	20	$29.00	$13.94
47562 Removal of gallbladder using an endoscope	18	18	$2147.67	$574.82
17250 Application of chemical to stop tissue regrowth in wound	17	13	$148.00	$32.15
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$48.00	$18.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$2529.00	$325.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$232.00	$154.72

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License SC 26962

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

269621 (SC)

Hospital & Practice Group Affiliations

Prisma Health Medical Group-Midlands

115 N Sumter St, Sumter, SC 291504967

Phone: 8037751550

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Adam Przybyla , MD

Surgery

NPI 1194984476

Doctor of Medicine (M.D.)

Dr. Ashley Alexander , MD

Surgery

NPI 1265069983

Doctor of Medicine (M.D.)

Dr. Zachary Chadnick , MD

Surgery - Vascular Surgery

NPI 1366977415

Doctor of Medicine (M.D.)

Dr. Eric Byrd , MD

Surgery

NPI 1598792285

Doctor of Medicine (M.D.)

Tara Barrineau , PA-C

Physician Assistant - Surgical

NPI 1780143511

Physician Assistant (Certified)

Mclean James

Physician Assistant - Surgical

NPI 1932974706

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 09, 2019

Registered at PO BOX 743904, ATLANTA, GA 303743904 (Tel: 8032967303)

✅

NPI Profile Active May 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2016

Registered at 115 N SUMTER ST, SUITE 300, SUMTER, SC 291504972 (Tel: 8037751550)

📍

Updated Business Mailing Address May 12, 2016

Registered at PO BOX 402145, ATLANTA, GA 303842145 (Tel: 8032967303)

👤

Provider Name / Credentials Updated May 12, 2016

Recorded as ROBERT JONES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2016

Surgery (License #26962 in SC)

🟢

Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Robert Jones. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801929971

Entity Type:

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

Enumeration Date: March 14, 2007

Last Update: January 09, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 743904

Atlanta, GA 303743904

Phone: 8032967303

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.