Active NPI 1831187905 Individual Practitioner Male Practitioner

Dr. Lee Matthew Jones , MD

Orthopaedic Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lee Jones, MD is a certified Orthopaedic Surgery practicing in Tyler, TX. With approximately 32 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1994, Dr. Jones delivers high-quality medical care to the local community at 3414 GOLDEN RD.

Dr. Jones is affiliated with Ortholonestar Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, chronic care management services, first, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3414 Golden Rd

Tyler, TX 757018336

Telephone 9039397500

Fax 8002480426

Associated Practice Facility / Clinic

🏢 Tyler Anesthesia Group, Pa Facility NPI 1740228261

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +3.3 yrs vs City Avg

City Avg: 28.7 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

22 Specialists

Practicing in Tyler, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (32 Years) 32 Yrs

Tyler Specialty Average (28.7 Years) 28.7 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	786	81	$10.00	$0.11
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	158	25	$129.00	$59.88
20610 Aspiration and/or injection of fluid from large joint	135	93	$253.56	$67.20
99213 Established patient office or other outpatient visit, typically 15 minutes	102	87	$233.00	$85.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	81	$141.00	$53.78
73562 X-ray of knee, 3 views	53	50	$120.89	$38.27
73564 X-ray of knee, 4 or more views	48	40	$136.00	$44.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$334.00	$106.47
72170 X-ray of pelvis, 1-2 views	24	24	$88.00	$26.25
73030 X-ray of shoulder, minimum of 2 views	17	16	$103.00	$32.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	701	70	$10.00	$0.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	166	24	$129.00	$59.94
20610 Aspiration and/or injection of fluid from large joint	155	86	$281.81	$71.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	80	$338.00	$122.56
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	93	17	$500.00	$114.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	71	$141.00	$54.08
73564 X-ray of knee, 4 or more views	70	57	$136.11	$44.61
73562 X-ray of knee, 3 views	58	57	$120.97	$37.77
99213 Established patient office or other outpatient visit, typically 15 minutes	54	48	$233.00	$85.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$510.00	$153.14
73030 X-ray of shoulder, minimum of 2 views	26	22	$103.00	$33.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$334.00	$100.19
72170 X-ray of pelvis, 1-2 views	24	24	$88.00	$26.80
73560 X-ray of knee, 1-2 views	13	12	$104.00	$32.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	977	98	$10.00	$0.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	236	36	$129.00	$61.76
20610 Aspiration and/or injection of fluid from large joint	203	110	$293.79	$73.13
99213 Established patient office or other outpatient visit, typically 15 minutes	116	97	$233.87	$88.34
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	115	21	$500.00	$124.78
73564 X-ray of knee, 4 or more views	81	61	$136.10	$44.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	76	$141.00	$54.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	56	$340.73	$124.64
73562 X-ray of knee, 3 views	63	60	$121.00	$39.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$334.00	$109.07
73030 X-ray of shoulder, minimum of 2 views	36	24	$103.00	$34.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$510.00	$158.23
72170 X-ray of pelvis, 1-2 views	28	28	$88.00	$27.43
73560 X-ray of knee, 1-2 views	17	14	$104.00	$33.64
27447 Replacement of knee joint, both sides of knee	12	11	$3434.50	$975.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,402	153	$10.00	$0.15
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	328	62	$121.75	$39.81
20610 Aspiration and/or injection of fluid from large joint	295	175	$282.41	$73.17
99213 Established patient office or other outpatient visit, typically 15 minutes	224	160	$213.77	$88.98
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	171	35	$518.89	$133.93
73564 X-ray of knee, 4 or more views	118	93	$136.95	$44.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$324.50	$108.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	74	$135.61	$54.84
73030 X-ray of shoulder, minimum of 2 views	70	58	$109.29	$33.40
73562 X-ray of knee, 3 views	59	58	$120.75	$39.39
72170 X-ray of pelvis, 1-2 views	34	34	$93.18	$27.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$298.57	$126.67
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	18	16	$65.00	$36.38
73560 X-ray of knee, 1-2 views	16	11	$102.25	$33.36
73630 X-ray of foot, minimum of 3 views	15	12	$97.80	$33.38
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$162.62	$52.63
27447 Replacement of knee joint, both sides of knee	12	12	$3326.75	$791.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$480.00	$163.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,451	147	$10.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	318	163	$273.40	$70.49
99213 Established patient office or other outpatient visit, typically 15 minutes	221	163	$160.00	$72.29
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	178	38	$595.00	$143.09
73564 X-ray of knee, 4 or more views	128	103	$140.00	$42.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$275.00	$103.55
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	87	39	$99.43	$40.87
73030 X-ray of shoulder, minimum of 2 views	45	36	$125.00	$31.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$200.00	$106.46
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	27	27	$65.00	$36.80
73562 X-ray of knee, 3 views	20	20	$120.00	$37.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$120.00	$44.39
27447 Replacement of knee joint, both sides of knee	19	19	$4282.21	$738.59
73630 X-ray of foot, minimum of 3 views	14	11	$85.00	$31.61
73610 X-ray of ankle, minimum of 3 views	14	14	$83.00	$33.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$345.00	$160.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,588	165	$10.00	$0.11
20610 Aspiration and/or injection of fluid from large joint	317	180	$270.99	$66.55
99213 Established patient office or other outpatient visit, typically 15 minutes	212	147	$160.00	$70.32
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	187	33	$595.00	$141.36
73564 X-ray of knee, 4 or more views	132	105	$140.00	$39.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$275.00	$102.73
73030 X-ray of shoulder, minimum of 2 views	67	56	$125.00	$28.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$200.00	$104.82
73610 X-ray of ankle, minimum of 3 views	21	15	$83.00	$31.61
20605 Aspiration and/or injection of medium joint or joint capsule	16	15	$155.00	$46.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$345.00	$158.82
73560 X-ray of knee, 1-2 views	15	11	$100.00	$30.60
27447 Replacement of knee joint, both sides of knee	15	14	$5006.67	$955.36
73630 X-ray of foot, minimum of 3 views	14	13	$85.00	$27.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,348	164	$10.01	$0.12
20610 Aspiration and/or injection of fluid from large joint	379	193	$268.72	$66.49
99213 Established patient office or other outpatient visit, typically 15 minutes	279	180	$160.00	$69.89
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	212	47	$595.00	$143.69
73564 X-ray of knee, 4 or more views	133	110	$141.05	$37.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$275.00	$102.16
73030 X-ray of shoulder, minimum of 2 views	44	36	$125.00	$27.88
73560 X-ray of knee, 1-2 views	31	23	$100.00	$29.49
73610 X-ray of ankle, minimum of 3 views	23	16	$83.00	$28.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$200.00	$103.80
27447 Replacement of knee joint, both sides of knee	19	18	$5862.84	$1208.20
73630 X-ray of foot, minimum of 3 views	15	11	$85.00	$25.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$345.00	$158.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	678	166	$10.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	367	187	$282.02	$67.47
99213 Established patient office or other outpatient visit, typically 15 minutes	239	176	$160.00	$68.55
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	237	41	$595.00	$152.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$275.00	$101.27
73564 X-ray of knee, 4 or more views	111	87	$140.00	$36.34
73030 X-ray of shoulder, minimum of 2 views	49	44	$125.00	$26.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$200.00	$101.22
73560 X-ray of knee, 1-2 views	26	22	$100.00	$26.90
27447 Replacement of knee joint, both sides of knee	22	22	$4722.20	$801.38
73610 X-ray of ankle, minimum of 3 views	17	13	$83.59	$26.76
29827 Repair of shoulder rotator cuff using an endoscope	16	15	$3910.00	$1007.98
73630 X-ray of foot, minimum of 3 views	15	13	$86.33	$25.86

Medical Specialties & State Licenses

CMS Verified: 2020-05-13

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX G8882

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.

Hospital & Practice Group Affiliations

Ortholonestar Pllc

3414 Golden Rd, Tyler, TX 757018336

Phone: 9039397500

Practice Associates & Co-Workers

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

40 Associated Practitioners

Lynsie Doughten , FNP-C

Nurse Practitioner - Family

NPI 1013754043

Family Nurse Practitioner (Certified)

Dr. Claire Tibiletti , MD

Pain Medicine - Interventional Pain Medicine

NPI 1013937556

Doctor of Medicine (M.D.)

Jordan Cooke , PA-C

Physician Assistant - Surgical

NPI 1033628383

Physician Assistant (Certified)

Marc Reimers , FNP-C

Nurse Practitioner - Family

NPI 1053946368

Family Nurse Practitioner (Certified)

Dr. Andrew Hester , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1063874071

Doctor of Medicine (M.D.)

Lindsey Markel , FNP-C

Nurse Practitioner - Family

NPI 1104450832

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Orthopaedic Surgery (License #G8882 in TX)

✅

NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2015

Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)

📍

Updated Business Mailing Address January 21, 2015

Registered at PO BOX 130189, TYLER, TX 757130189 (Tel: 9039397500)

👤

Provider Name / Credentials Updated January 21, 2015

Recorded as LEE JONES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Orthopaedic Surgery (License #G8882 in TX)

🟢

Initial NPI Registration & Enumeration October 12, 2005

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: 1831187905

Entity Type:

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

Enumeration Date: October 12, 2005

Last Update: May 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 130189

Tyler, TX 757130189

Phone: 9039397500

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.