Active NPI 1205195641 Individual Practitioner Male Practitioner

Dr. Thomas W Jones , MD

Ophthalmology • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jones, MD is a certified Ophthalmology practicing in Everett, WA. With approximately 14 years of clinical experience since graduating from Tulane University School Of Medicine in 2012, Dr. Jones delivers high-quality medical care to the local community at 3930 HOYT AVE.

Dr. Jones is affiliated with Physicians Eye Clinic Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3930 Hoyt Ave

Everett, WA 982014919

Telephone 4252592020

Fax 4252592801

Associated Practice Facility / Clinic

🏢 Gallery Of Eyewear, Llc Facility NPI 1548287303

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Everett, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -8.9 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

15 Specialists

Practicing in Everett, WA (552 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (14 Years) 14 Yrs

Everett Specialty Average (22.9 Years) 22.9 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
92014 Established patient complete exam of visual system	233	232	$213.67	$126.26
99213 Established patient office or other outpatient visit, typically 15 minutes	156	129	$140.51	$90.83
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	148	86	$107.43	$11.73
66984 Removal of cataract with insertion of lens	143	84	$1745.00	$536.33
92136 Measurement of corneal curvature and depth of eye	130	79	$169.51	$38.27
92250 Photography of the retina	126	124	$108.16	$36.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	98	$190.87	$128.03
66821 Removal of recurring cataract in lens capsule using a laser	75	58	$553.22	$309.56
92133 Imaging of optic nerve	44	44	$108.63	$36.53
92004 New patient complete exam of visual system	43	43	$248.84	$147.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$240.43	$166.38
92083 Exam of visual field with extended testing	27	26	$130.07	$63.99
92134 Imaging of retina	14	13	$131.78	$40.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$115.22	$56.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	191	190	$181.96	$126.74
92136 Measurement of corneal curvature and depth of eye	186	107	$193.84	$38.69
00142 Anesthesia for lens surgery	172	106	$281.95	$111.36
66984 Removal of cataract with insertion of lens	169	97	$1745.00	$534.73
92250 Photography of the retina	145	140	$125.00	$37.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	131	$155.00	$127.42
99213 Established patient office or other outpatient visit, typically 15 minutes	134	113	$120.00	$89.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$235.00	$164.43
66821 Removal of recurring cataract in lens capsule using a laser	48	41	$536.00	$303.96
92133 Imaging of optic nerve	39	38	$140.00	$36.86
92004 New patient complete exam of visual system	34	34	$220.12	$150.80
92083 Exam of visual field with extended testing	27	27	$130.00	$63.12
92012 Established patient problem focused exam of visual system	19	16	$120.00	$90.52
92134 Imaging of retina	18	18	$140.00	$40.60
00103 Anesthesia for procedure on eyelid	18	18	$347.17	$141.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$155.00	$111.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	156	100	$209.08	$41.44
66984 Removal of cataract with insertion of lens	148	92	$1745.00	$535.31
00142 Anesthesia for lens surgery	138	86	$272.27	$110.98
92014 Established patient complete exam of visual system	96	96	$178.96	$126.56
92250 Photography of the retina	78	78	$125.00	$37.45
99213 Established patient office or other outpatient visit, typically 15 minutes	67	49	$119.03	$88.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$235.00	$163.80
66821 Removal of recurring cataract in lens capsule using a laser	56	42	$536.00	$306.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$155.00	$128.13
92004 New patient complete exam of visual system	51	51	$225.55	$151.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$155.00	$111.84
92083 Exam of visual field with extended testing	15	15	$130.00	$63.42
00103 Anesthesia for procedure on eyelid	14	14	$321.14	$134.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$65.00	$54.22
92012 Established patient problem focused exam of visual system	11	11	$118.18	$90.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	152	110	$272.91	$111.43
92136 Measurement of corneal curvature and depth of eye	118	76	$218.37	$44.84
66984 Removal of cataract with insertion of lens	111	67	$1745.00	$536.33
92014 Established patient complete exam of visual system	101	100	$182.48	$127.23
92250 Photography of the retina	76	74	$125.00	$38.59
99213 Established patient office or other outpatient visit, typically 15 minutes	69	54	$115.00	$91.42
92004 New patient complete exam of visual system	68	68	$231.74	$151.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$235.00	$164.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$155.00	$130.78
65855 Laser repair to improve eye fluid flow	20	13	$775.00	$206.27
66821 Removal of recurring cataract in lens capsule using a laser	18	14	$536.00	$304.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$155.00	$113.15
92134 Imaging of retina	12	11	$140.00	$41.70
92012 Established patient problem focused exam of visual system	11	11	$115.00	$91.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	156	103	$271.72	$115.52
92004 New patient complete exam of visual system	55	55	$227.64	$149.90
92014 Established patient complete exam of visual system	53	52	$181.89	$129.25
92136 Measurement of corneal curvature and depth of eye	53	35	$215.02	$48.81
92250 Photography of the retina	47	46	$125.00	$44.55
66984 Removal of cataract with insertion of lens	46	31	$1745.00	$511.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$235.00	$167.38
92012 Established patient problem focused exam of visual system	20	17	$115.00	$90.45
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$115.00	$71.42
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$536.00	$320.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$155.00	$111.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	223	151	$269.38	$108.08
92004 New patient complete exam of visual system	99	99	$250.48	$145.87
92136 Measurement of corneal curvature and depth of eye	86	54	$211.63	$51.20
66984 Removal of cataract with insertion of lens	76	47	$1745.00	$618.94
92014 Established patient complete exam of visual system	49	49	$194.90	$124.33
65855 Laser repair to improve eye fluid flow	30	23	$774.17	$203.76
92012 Established patient problem focused exam of visual system	30	29	$115.00	$86.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$64.82	$43.85
66821 Removal of recurring cataract in lens capsule using a laser	21	17	$536.00	$300.60
00103 Anesthesia for procedure on eyelid	16	16	$367.88	$153.19
92250 Photography of the retina	12	12	$125.00	$49.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	246	181	$270.54	$110.65
92004 New patient complete exam of visual system	83	83	$262.63	$147.92
92136 Measurement of corneal curvature and depth of eye	66	43	$222.91	$59.51
66984 Removal of cataract with insertion of lens	50	33	$1745.00	$634.28
92012 Established patient problem focused exam of visual system	43	42	$110.23	$86.85
92014 Established patient complete exam of visual system	34	33	$204.62	$122.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	16	$61.17	$43.18
00103 Anesthesia for procedure on eyelid	18	18	$344.61	$144.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$155.00	$98.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	227	174	$269.20	$108.42
92004 New patient complete exam of visual system	63	63	$243.14	$145.55
92136 Measurement of corneal curvature and depth of eye	46	29	$208.00	$63.59
66984 Removal of cataract with insertion of lens	40	27	$1745.00	$634.89
92012 Established patient problem focused exam of visual system	21	20	$110.00	$85.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$61.00	$41.77
92014 Established patient complete exam of visual system	19	19	$177.42	$123.96

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD60661172

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Physicians Eye Clinic Pllc

3930 Hoyt Ave, Everett, WA 982014919

Phone: 4252592020

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Brian Lueth , MD

Ophthalmology

NPI 1154345684

Doctor of Medicine (M.D.)

Dr. Thomas Jones , MD

Ophthalmology

NPI 1578587002

Doctor of Medicine (M.D.)

Lydia Fitch , RN

Registered Nurse - Ophthalmic

NPI 1740157007

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2016

Registered at 3930 HOYT AVE, EVERETT, WA 982014919 (Tel: 4252592020)

📍

Updated Business Mailing Address October 18, 2016

Registered at 3930 HOYT AVE, EVERETT, WA 982014919 (Tel: 4252592020)

👤

Provider Name / Credentials Updated October 18, 2016

Recorded as THOMAS JONES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Ophthalmology (License #MD60661172 in WA)

🟢

Initial NPI Registration & Enumeration May 04, 2012

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: 1205195641

Entity Type:

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

Enumeration Date: May 04, 2012

Last Update: October 18, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3930 Hoyt Ave

Everett, WA 982014919

Phone: 4252592020

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.