MARY SAMANTHA JONES M.D.
NPI 1023304524
Emergency Medicine in York, ME

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1 LOVING KINDNESS WAY, YORK, ME 03909(207) 363-0390 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Samantha Jones M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SAMANTHA JONES M.D. (NPI 1023304524) is an individual emergency medicine provider in York, Maine, licensed in Maine (MD25482) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023304524
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARY SAMANTHA JONESCredential: M.D.
Location Address1 LOVING KINDNESS WAYYork, ME 03909
Mailing AddressPo Box 85Kittery, ME 03904-0085 · (405) 258-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 22, 2011
Last NPPES UpdateApril 21, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1023304524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ME · MD25482✔ Licensed in MO · 2011017040
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 LOVING KINDNESS WAY, York, ME 03909

Secondary Practice Locations 2

Location 11 Medical Center DrBiddeford, ME 04005-9496 · Phone (207) 294-5000
Location 25733 McPherson AveSaint Louis, MO 63112-1620 · Phone (405) 258-6050

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Samantha Jones M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557592151
PECOS Enrollment IDI20220607001226, I20250609001017
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Mary Jones reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
15 HOSPITAL DR
York, ME 03909
  • Reassigned Medicare billing, Maine enrollment
  • 347 clinicians in this Medicare group
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
Emergency Medicine
1 PARKLAND DR
Derry, NH 03038
  • Reassigned Medicare billing, New Hampshire enrollment
  • 145 clinicians in this Medicare group
Emergency Medicine
14 MAINE ST STE 306
Brunswick, ME 04011
  • Reassigned Medicare billing, Maine enrollment
  • 170 clinicians in this Medicare group
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
Emergency Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 167 clinicians in this Medicare group
General Acute Care Hospital
RR 1 BOX 11
Machias, ME 04654
  • Reassigned Medicare billing, Maine enrollment
  • 120 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
24 HOSPITAL LN
Calais, ME 04619
  • Reassigned Medicare billing, Maine enrollment
  • 94 clinicians in this Medicare group
Emergency Medicine
7150 CONTEE RD
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • Also billed through NPI 1134117393 (Virginia)
  • 1,150 clinicians in this Medicare group
Emergency Medicine
4600 SPOTSYLVANIA PKWY
Fredericksburg, VA 22408
  • Reassigned Medicare billing, Virginia enrollment
  • 91 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
103 services99 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services48 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
40 services39 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Spotsylvania Regional Medical Center

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490141
Location4600 Spotsylvania ParkwayFredericksburg, VA 22408 · Spotsylvania County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1 LOVING KINDNESS WAY
YORK, ME 03909
Physician Assistant
1 LOVING KINDNESS WAY
YORK, ME 03909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jones's NPI number?

The NPI number for Mary Jones is 1023304524. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Mary Jones located?

Mary Jones practices at 1 Loving Kindness Way, York, ME 03909. The listed phone number is (207) 363-0390.

What is Mary Jones's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Jones enrolled in Medicare?

Yes. Mary Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jones reassigns Medicare benefits to 10 organizations: York Hospital (York, ME), Mainehealth (Biddeford, ME), Emergency Medicine Services Of Nh, LLC (Derry, NH), Bluewater Emergency Partners Of Brunswick, LLC (Brunswick, ME), Mainegeneral Medical Center (Augusta, ME) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Jones accept?

Health plans from Oscar Health, Taro Health and WellSense Health Plan list Mary Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Jones affiliated with any hospitals?

According to CMS data, Mary Jones is affiliated with Novant Health Uva Health System Culpeper Med Cente, Inova Fairfax Hospital and Spotsylvania Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Jones was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.