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JONATHON DAVID JAQUA D.O.
NPI 1396062923
Obstetrics & Gynecology in Edina, MN

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
84.34/100
CMS Quality Rating
3625 W. 65TH STREET, SUITE 100, EDINA, MN 55435(952) 920-7001(612) 626-0665 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathon David Jaqua D.o. NPPES

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

JONATHON DAVID JAQUA D.O. (NPI 1396062923) is an individual obstetrics & gynecology provider in Edina, Minnesota, licensed in Minnesota (57244) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396062923
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJONATHON DAVID JAQUACredential: D.O.
Location Address3625 W. 65TH STREET, SUITE 100Edina, MN 55435
Mailing Address3625 W. 65th Street, Suite 100Edina, MN 55435 · (952) 920-7001 · Fax (952) 345-0472
Phone(952) 920-7001
Fax(612) 626-0665
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateAugust 22, 2014
✔ NPI 1396062923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 57244
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3625 W. 65TH STREET, Edina, MN 55435
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Jonathon David Jaqua D.o. 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 ID5395965594
PECOS Enrollment IDI20141010001853
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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

84.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.33
Promoting Interoperability100
Improvement Activities40
Cost61.49

Reported Quality Measures

Breast Cancer Screening
76%66 patients4/55-star benchmark: 93%
Cervical Cancer Screening
83%531 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
26%73 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
91%945 patients4/55-star benchmark: 100%
e-Prescribing
100%249 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
42%374 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
52%760 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 512 patients
0%512 patients
Provide Patients Electronic Access to Their Health Information
99%337 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

PREMIER OBGYN OF MINNESOTA PLLC
Obstetrics & Gynecology
3625 W. 65TH STREET, SUITE 100
EDINA, MN 55435
Hennepin County (952) 920-7001

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 Jonathon Jaqua's NPI number?

The NPI number for Jonathon Jaqua is 1396062923. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Jonathon Jaqua located?

Jonathon Jaqua practices at 3625 W. 65th Street Suite 100, Edina, MN 55435. The listed phone number is (952) 920-7001.

What is Jonathon Jaqua's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jonathon Jaqua enrolled in Medicare?

Yes. Jonathon Jaqua 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 Jonathon Jaqua accept?

Health plans from HealthPartners and Medica list Jonathon Jaqua 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 Jonathon Jaqua affiliated with any hospitals?

According to CMS data, Jonathon Jaqua is affiliated with M Health Fairview Southdale Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Jonathon Jaqua was last updated on August 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.