KIMBERLY D JONES AUD
NPI 1447270160
Audiologist in Gallipolis, OH


Quality Rating: 87.13 out of 100 score

NPI Status: Active since July 19, 2006

Contact Information

100 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-5135
Fax: (740) 446-5958

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  • Individual
  • Female
  • Audiologist
  • Accepts Insurance
  • Medicare Quality Reporting

About KIMBERLY JONES

This page provides the complete NPI Profile along with additional information for Kimberly Jones, a provider established in Gallipolis, Ohio with a medical specialization in Audiologist. The healthcare provider is registered in the NPI registry with number 1447270160 assigned on July 2006. The practitioner's primary taxonomy code is 231H00000X with license number A.01357 (OH). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1447270160
Provider Name
KIMBERLY D JONES AUD
Other Name
KIMBERLY D SWISHER AUD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
100 JACKSON PIKE GALLIPOLIS, OH 45631
Location Phone
(740) 446-5135
Location Fax
(740) 446-5958
Mailing Address
90 JACKSON PIKE GALLIPOLIS, OH 45631
Mailing Phone
(740) 446-5135
Mailing Fax
(740) 446-5958
Is Sole Proprietor?
No
Enumeration Date
07-19-2006
Last Update Date
01-21-2021
Code Navigator

Audiologists like Kimberly Jones are experts in diagnosing issues related to various parts of the ear, including the outer, middle, and inner ear. They can identify conditions like vertigo, balance issues, hearing loss, and tinnitus, offering treatments based on a patient’s specific condition and severity. These specialists use specialized equipment to assess the cause and extent of hearing impairments, employing tools like audiometers to evaluate the range of frequencies and volumes a person can hear. In addition, audiologists counsel patients and their families, providing advice on managing and adapting to hearing loss.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Audiologist

Taxonomy Code
231H00000X
Type
Speech, Language and Hearing Service Providers
License No.
A.01357
License State
OH
Taxonomy Description
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1250 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5000 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO
  • SilverSelect w/ Virtual & Wellness ON-EX - HMO
  • Young Adult Essentials ON-EX - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3405006000MEDICAID (05)WV 
0098579MEDICAID (05)OH 
310917085193OTHER (01)OHOH MEDICAID CARESOURCE

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Comprehensive hearing and speech recognition test

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

This service was performed 75 times for 73 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.13, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 87.13 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 91.95

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 54.17

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 54.17

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 44% 360
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76% 58
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92% 318
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87% 316
Provide Patients Electronic Access to Their Health Information 77% 646

Reviews for KIMBERLY D JONES AUD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447270160
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487470112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 4 + 7 + 0 + 1 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1447270160 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407857014 ROBERT O. SCHMOLL JR. R.PH.
Individual
Pharmacist100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 441-8071
1013969021 JOSEPH D. CRUM D.O.
Individual
Emergency Medicine100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5586
1679588545 SUSHEEL S KAKDE SR. M.D.
Individual
Emergency Medicine100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5000
1942525563I PATH LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5000
1972910081 SARAH MEUCCI
Individual
Pharmacist100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5366
1235373531 TIFFANY NICOLE HILLMAN OTR/L
Individual
Occupational Therapist100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5121
1407251713 JESSICA BOBST PHARM D
Individual
Pharmacist100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5236
1689072779SOUTHERN OHIO EMERGENCY PHYSICIANS LLP
Organization
Emergency Medicine100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5000
1578952503RIVER REGION EMERGENCY PHYSICIANS LLP
Organization
Emergency Medicine100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5000
1477942977STATE LINE HOSPITALISTS, LLP
Organization
Emergency Medicine100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5000
1386035954 TIM I MOOMAW NP
Individual
Nurse Practitioner100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5000
1659753580 JACKY MARCUS PT, DPT
Individual
Physical Therapist100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5142
1447625033 SHERRI L WILLIAMS NP
Individual
Nurse Practitioner100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5597
1164889846DR. ISAAC THOMPSON PHARM.D.
Individual
Pharmacist100 JACKSON PIKE HOLZER INPATIENT PHARMACY
GALLIPOLIS, OH 45631
(740) 446-5234
1912450230 ALEXANDRA DIMIT PHARMD
Individual
Pharmacist (Ambulatory Care)100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5366
1457708711 TAMMY SMATHERS CNP
Individual
Nurse Practitioner100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5002
1497299770 CRYSTAL FERGUSON APRN
Individual
Nurse Practitioner (Family)100 JACKSON PIKE
GALLIPOLIS, OH 45631
(304) 429-1088
1124009774 STEVEN MICHAEL MILLER M.D
Individual
Orthopaedic Surgery100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5401
1851838189 MOLLY A KENNEDY AUD
Individual
Audiologist100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 446-5415
1538695580MS. STEPHANIE ANN CARROLL IBCLC
Individual
Lactation Consultant, Non-RN100 JACKSON PIKE
GALLIPOLIS, OH 45631
(740) 709-0038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447270160, enumerated in the NPI registry as an "individual" on July 19, 2006

The provider is located at 100 Jackson Pike Gallipolis, Oh 45631 and the phone number is (740) 446-5135

The provider's speciality is Audiologist with taxonomy code 231H00000X

The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc., CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

The most common procedures or services performed by this practitioner are: Comprehensive hearing and speech recognition test.

This NPI record was last updated on July 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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