Dr Kimberly Sue Jones, MD - Medicare Surgery in Raleigh, NC

Dr Kimberly Sue Jones, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Raleigh, North Carolina. Her current practice location is 9104 Falls Of Neuse Rd Ste 200, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 532-2270.

Dr Kimberly Sue Jones is licensed to practice in North Carolina (license number 201711) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043621972.

Contact Information

Dr Kimberly Sue Jones, MD
9104 Falls Of Neuse Rd Ste 200,
Raleigh, NC 27615-2494
(919) 532-2270
(919) 230-9140

Map and Direction




Physician's Profile

Full NameDr Kimberly Sue Jones
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location9104 Falls Of Neuse Rd Ste 200, Raleigh, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043621972
  • Provider Enumeration Date: 05/13/2014
  • Last Update Date: 06/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668697228
  • Enrollment ID: I20230623000132

Medical Identifiers

Medical identifiers for Dr Kimberly Sue Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043621972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 201711 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Sue Jones allows following entities to bill medicare on her behalf.
Entity NameNorth Raleigh Plastic Surgery, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457983116
PECOS PAC ID: 0042631053
Enrollment ID: O20200529002055

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Sue Jones is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly Sue Jones, MD
2268 Duskywing Dr,
Raleigh, NC 27613-6612

Ph: (803) 603-8506
Dr Kimberly Sue Jones, MD
9104 Falls Of Neuse Rd Ste 200,
Raleigh, NC 27615-2494

Ph: (919) 532-2270

Reviews and Comments


Surgery Doctors in Raleigh, NC

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.