PAUL ANDREW JONES M.D.
NPI 1275557985
Family Medicine in Duluth, MN

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
1502 LONDON RD, SUITE 102, DULUTH, MN 55812(218) 727-8228(218) 727-7771 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Andrew Jones M.d. NPPES

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

PAUL ANDREW JONES M.D. (NPI 1275557985) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (48653) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2005).

NPPES Registry Identity

NPI1275557985
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL ANDREW JONESCredential: M.D.
Location Address1502 LONDON RD, SUITE 102Duluth, MN 55812-1788
Mailing Address1502 London Rd, Suite 102Duluth, MN 55812-1788 · (218) 727-8228 · Fax (218) 727-7771
Fax(218) 727-7771
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2005
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 2, 2011
NPI 1275557985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 48653
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1502 LONDON RD, Duluth, MN 55812

Other Identifiers 5

Medicare PINP00713572MN
Medicare PIN080020646MN
Medicare PIN080020645MN
Medicare UPINI59048MN
Medicaid697638000MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul Andrew 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 ID7416950514
PECOS Enrollment IDI20060810000118
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services106 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55812 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers39 claims85 services$5.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims24 services$0.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Pharmacy (Community/Retail Pharmacy)
1502 LONDON RD, SUITE 101
DULUTH, MN 55812
Clinical Nurse Specialist (Adult Health)
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
Psychiatry & Neurology (Sleep Medicine)
1502 LONDON RD
DULUTH, MN 55812
Family Medicine
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
Family Medicine
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
Pharmacy Technician
1502 LONDON RD, SUITE 101
DULUTH, MN 55812
Family Medicine
1502 LONDON RD, 102
DULUTH, MN 55812
Pharmacist
1502 LONDON RD, SUITE 102
DULUTH, MN 55812

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 Paul Jones's NPI number?

The NPI number for Paul Jones is 1275557985. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Paul Jones located?

Paul Jones practices at 1502 London Rd Suite 102, Duluth, MN 55812. The listed phone number is (218) 727-8228.

What is Paul Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Jones enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Jones accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Paul 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 Paul Jones affiliated with any hospitals?

According to CMS data, Paul Jones is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Moose Lake and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Paul Jones was last updated on June 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.