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DR. JAMES MATTHEW JONES DO
NPI 1306001862
Emergency Medicine in Ponte Vedra, FL

Active since July 24, 2008PECOS Enrolled
75/100
CMS Quality Rating
145 ROYAL LAKE DR, PONTE VEDRA, FL 32081(615) 785-3952 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Matthew Jones Do NPPES

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

DR. JAMES MATTHEW JONES DO (NPI 1306001862) is an individual emergency medicine provider in Ponte Vedra, Florida, licensed in Florida (OS11088) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306001862
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES MATTHEW JONESCredential: DO
Location Address145 ROYAL LAKE DRPonte Vedra, FL 32081-0538
Mailing Address145 Royal Lake DrPonte Vedra, FL 32081-0538 · (615) 785-3952
Phone(615) 785-3952
Sole ProprietorNo
Enumeration DateJuly 24, 2008
Last NPPES UpdateOctober 30, 2012
✔ NPI 1306001862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · OS11088✔ Licensed in TN · DO0000002171✔ Licensed in OH · 34.009490
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.
145 ROYAL LAKE DR, Ponte Vedra, FL 32081
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Matthew Jones Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show James Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Physicians Inc
20 mi
Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
NPI 1285686675 (904) 396-5682

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.

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.
313 services305 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
235 services219 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
115 services107 patients
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.
64 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 James Jones's NPI number?

The NPI number for James Jones is 1306001862. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is James Jones located?

James Jones practices at 145 Royal Lake Dr, Ponte Vedra, FL 32081. The listed phone number is (615) 785-3952.

What is James Jones's specialty?

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

Is James Jones enrolled in Medicare?

Yes. James Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Jones reassigns Medicare benefits to Emergency Physicians Inc (Jacksonville, FL). The 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 James Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Jones was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.