BENJAMIN DAVID JONES M.D.
NPI 1275891806
Emergency Medicine in Carmichael, CA
About Benjamin David Jones M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN DAVID JONES M.D. (NPI 1275891806) is an individual emergency medicine provider in Carmichael, California, licensed in California (A140171) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
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
Benjamin David 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.
Medicare Billing Reassignments
5Medicare enrollment records show Benjamin Jones reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carmichael, CA 95608
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 167 clinicians in this Medicare group
Reedsport, OR 97467
- Reassigned Medicare billing, Oregon enrollment
- 77 clinicians in this Medicare group
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 691 clinicians in this Medicare group
Hermiston, OR 97838
- Reassigned Medicare billing, Oregon enrollment
- 344 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Roseburg, ORAdventist Health Portland
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
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 Benjamin Jones's NPI number?
The NPI number for Benjamin Jones is 1275891806. It was assigned to this individual provider in the NPPES registry on May 2, 2012.
Where is Benjamin Jones located?
Benjamin Jones practices at 6501 Coyle Ave, Carmichael, CA 95608. The listed phone number is (916) 537-5000.
What is Benjamin Jones's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Benjamin Jones enrolled in Medicare?
Yes. Benjamin 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 Benjamin Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Jones reassigns Medicare benefits to 5 organizations: Cep America - California (Carmichael, CA), Cep America LLC (Roseburg, OR), Lower Umpqua Hospital District (Reedsport, OR), Tuality Medical Group LLC (Hillsboro, OR) and Good Shepherd Health Care System (Hermiston, OR). 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 Benjamin Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Jones accept?
Health plans from Moda Health Plan, Inc. list Benjamin 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 Benjamin Jones affiliated with any hospitals?
According to CMS data, Benjamin Jones is affiliated with Mercy Medical Center and Adventist Health Portland.
When was this NPI record last updated?
The NPPES record for Benjamin Jones was last updated on April 25, 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.
# Benjamin David Jones, M.D. · NPI 1275891806
Emergency Medicine physician in Carmichael, California. Individual provider, active in the CMS NPPES registry since May 2, 2012.
## Identity
- **NPI:** 1275891806 (Entity type: Individual)
- **Enumerated:** May 2, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A140171 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 COYLE AVE, Carmichael, CA 95608-0306
- **Phone:** (916) 537-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1780938704, Carmichael, CA); Cep America LLC (NPI 1780647719, Roseburg, OR); Lower Umpqua Hospital District (NPI 1003874819, Reedsport, OR); Tuality Medical Group LLC (NPI 1639690704, Hillsboro, OR); Good Shepherd Health Care System (NPI 1336198159, Hermiston, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** April 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1275891806) · Data from the CMS NPPES public registry.