Active NPI 1073557930 Individual Practitioner Male Practitioner

Dr. Michael C Jones , MD

Urology • Fredericksburg, TX

Professional Overview & Biography Verified Profile Summary

Dr. Michael Jones, MD is a registered healthcare professional specializing in Urology in Fredericksburg, TX. Practice services are available at 703 S ADAMS ST under active NPI credentials.

Frequently performed procedures and clinical services include manual urinalysis test with examination using microscope, automated, established patient outpatient office visit, leuprolide acetate (for depot suspension), 7.5 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

703 S Adams St

Fredericksburg, TX 786244444

Telephone 8309979507

Fax 8309970583

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fredericksburg, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Fredericksburg, TX (1027 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
81001 Manual urinalysis test with examination using microscope, automated	1,130	589	$20.00	$3.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	854	526	$200.00	$127.28
99213 Established patient office or other outpatient visit, typically 15 minutes	142	118	$150.00	$89.73
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	108	12	$750.00	$183.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	106	84	$275.00	$173.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$250.00	$110.26
52000 Diagnostic exam of bladder and urethra using an endoscope	76	71	$425.00	$233.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	44	$125.00	$55.05
76775 Limited ultrasound scan behind abdominal cavity	39	36	$250.00	$58.23
76857 Limited ultrasound scan of pelvis	38	35	$250.00	$47.57
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	26	$1636.36	$85.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$300.00	$164.91
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	27	25	$2000.00	$157.80
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	23	$2608.70	$432.93
76872 Ultrasound scan of pelvic region through rectum	21	21	$400.00	$32.00
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$400.00	$30.07
55700 Biopsy of prostate gland	21	21	$450.00	$72.21
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	12	$50.00	$32.03
52281 Dilation of bladder canal (urethra) using an endoscope	18	18	$1250.00	$319.42
51701 Insertion of temporary bladder tube	15	13	$125.00	$45.18
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2500.00	$716.84
51798 Ultrasound measurement of bladder capacity after voiding	14	12	$40.00	$9.98
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	13	12	$2500.00	$291.04
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$750.00	$309.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,186	601	$20.00	$3.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	859	536	$200.12	$106.26
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	189	24	$750.00	$219.94
99213 Established patient office or other outpatient visit, typically 15 minutes	146	122	$150.00	$72.44
52000 Diagnostic exam of bladder and urethra using an endoscope	87	81	$425.00	$202.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$250.00	$105.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	67	$275.00	$139.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$300.00	$162.09
76857 Limited ultrasound scan of pelvis	40	39	$250.00	$48.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$125.00	$44.51
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	24	$50.00	$30.75
55700 Biopsy of prostate gland	34	34	$450.00	$71.63
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	34	34	$400.00	$31.27
76872 Ultrasound scan of pelvic region through rectum	34	34	$400.00	$32.64
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	26	$1750.00	$106.18
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	30	30	$2500.00	$735.86
99442 Telephone medical discussion with physician, 11-20 minutes	26	24	$90.77	$68.58
52281 Dilation of bladder canal (urethra) using an endoscope	26	25	$1250.00	$317.84
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	24	23	$2000.00	$164.68
76775 Limited ultrasound scan behind abdominal cavity	22	18	$250.00	$57.86
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	21	$2613.64	$425.24
51798 Ultrasound measurement of bladder capacity after voiding	21	18	$40.00	$8.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,302	681	$20.00	$3.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	983	627	$200.00	$104.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	248	29	$750.00	$224.82
99213 Established patient office or other outpatient visit, typically 15 minutes	163	139	$150.00	$70.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$250.00	$104.42
52000 Diagnostic exam of bladder and urethra using an endoscope	112	105	$425.00	$182.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	61	$275.35	$139.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	54	$125.00	$43.18
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	58	29	$50.00	$29.04
51798 Ultrasound measurement of bladder capacity after voiding	51	45	$40.00	$11.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$300.00	$154.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	46	37	$1777.17	$100.62
55700 Biopsy of prostate gland	40	39	$450.00	$71.25
51720 Instillation of anti-cancer drug into bladder	39	11	$250.00	$81.44
76872 Ultrasound scan of pelvic region through rectum	38	37	$400.00	$31.73
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	37	$400.00	$31.06
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	33	33	$2431.82	$724.38
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	28	28	$2000.00	$160.62
76857 Limited ultrasound scan of pelvis	20	17	$250.00	$44.53
52281 Dilation of bladder canal (urethra) using an endoscope	19	19	$1250.00	$288.69
51701 Insertion of temporary bladder tube	19	16	$125.00	$43.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	14	$2500.00	$391.51
52005 Insertion of tube into ureter using an endoscope through bladder area	17	15	$776.47	$79.26
76775 Limited ultrasound scan behind abdominal cavity	15	11	$250.00	$56.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,355	698	$20.00	$3.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	930	614	$200.00	$103.52
99213 Established patient office or other outpatient visit, typically 15 minutes	239	190	$150.00	$70.21
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	137	22	$750.00	$214.15
52000 Diagnostic exam of bladder and urethra using an endoscope	118	110	$425.00	$158.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$250.00	$103.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	58	$125.00	$42.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	47	$275.00	$138.65
51798 Ultrasound measurement of bladder capacity after voiding	42	38	$40.00	$14.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	41	32	$1646.34	$94.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$300.00	$159.40
55700 Biopsy of prostate gland	36	36	$450.00	$84.93
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	35	35	$400.00	$31.90
76872 Ultrasound scan of pelvic region through rectum	35	35	$400.00	$33.33
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	22	$50.00	$29.33
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	28	28	$2250.00	$724.31
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	27	27	$2000.00	$163.51
51701 Insertion of temporary bladder tube	22	15	$125.00	$45.76
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	17	$750.00	$238.20
52281 Dilation of bladder canal (urethra) using an endoscope	16	16	$1250.00	$265.70
76857 Limited ultrasound scan of pelvis	16	15	$250.00	$46.86
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$425.00	$40.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,497	787	$20.00	$4.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,022	679	$200.00	$102.37
99213 Established patient office or other outpatient visit, typically 15 minutes	165	154	$150.00	$69.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$250.00	$103.37
52000 Diagnostic exam of bladder and urethra using an endoscope	141	136	$425.00	$156.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	104	17	$750.00	$210.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	52	$125.00	$41.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	47	30	$1675.53	$92.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$300.00	$157.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$275.00	$138.85
76872 Ultrasound scan of pelvic region through rectum	32	32	$400.00	$32.88
55700 Biopsy of prostate gland	32	32	$450.00	$87.10
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	32	$400.00	$31.78
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	17	$50.00	$30.59
51798 Ultrasound measurement of bladder capacity after voiding	29	27	$40.00	$17.99
52281 Dilation of bladder canal (urethra) using an endoscope	24	24	$1250.00	$260.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	15	$125.00	$38.07
76857 Limited ultrasound scan of pelvis	19	19	$250.00	$46.03
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	18	$750.00	$233.85
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	16	16	$2000.00	$174.89
99221 Initial hospital inpatient care per day, typically 30 minutes	15	13	$200.00	$92.55
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$800.00	$88.12
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2250.00	$832.58

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX F4131

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

126479804 (TX)

Commercial Insurance / Payer ID Medicare Palmetto Dme #

0616600001 (TX)

Commercial Insurance / Payer ID Medicare Railroad #

340001356 (TX)

Commercial Insurance / Payer ID Bcbs Provider #

00FP77 (TX)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2017

Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)

📍

Updated Business Mailing Address March 30, 2017

Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)

👤

Provider Name / Credentials Updated March 30, 2017

Recorded as MICHAEL JONES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Urology (License #F4131 in TX)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)

📍

Updated Business Mailing Address July 09, 2007

Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL JONES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Urology (License #F4131 in TX)

🟢

Initial NPI Registration & Enumeration June 15, 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: 1073557930

Entity Type:

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

Enumeration Date: June 15, 2006

Last Update: March 30, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

703 S Adams St

Fredericksburg, TX 786244444

Phone: 8309979507

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.