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ANDREA JONES
NPI 1558620658
Emergency Medicine in New Haven, CT

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
20 YORK ST # T-209, YALE-NEW HVEN HOSPITAL, NEW HAVEN, CT 06510(203) 688-2259(203) 688-5599 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Jones NPPES

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

ANDREA JONES (NPI 1558620658) is an individual emergency medicine provider in New Haven, Connecticut, licensed in Washington (MD61247574) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558620658
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameANDREA JONES
Location Address20 YORK ST # T-209, YALE-NEW HVEN HOSPITALNew Haven, CT 06510-3220
Mailing Address20 York St # T-209, Yale-new Haven HospitalNew Haven, CT 06510-3220 · (203) 688-2259 · Fax (203) 688-5599
Phone(203) 688-2259
Fax(203) 688-5599
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 9, 2012
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1558620658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WA · MD61247574✔ Licensed in CA · A143176
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 YORK ST # T-209, New Haven, CT 06510
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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

Andrea Jones 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 ID648599787
PECOS Enrollment IDI20220404002201
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.

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.
143 services137 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.
107 services94 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.
47 services47 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

DR. JENNIFER BUENZLE DWYER M.D., PH.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 433-2788
DR. CHENGJIE ZHENG MD
Student in an Organized Health Care Education/Training Program
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 789-3989
MELISSA ANNE MUCH M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. BRYAN C. SHELBY MD
Psychiatry & Neurology (Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
JOSEPH DANIEL FLYNN
Psychiatry & Neurology (Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
MARIA GHANBARI MOTLAGH MD
Psychiatry & Neurology (Addiction Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
ZARA AWAN
Student in an Organized Health Care Education/Training Program
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
PICHAMOL JIRAPINYO MD
Internal Medicine (Gastroenterology)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259

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 Andrea Jones's NPI number?

The NPI number for Andrea Jones is 1558620658. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Andrea Jones located?

Andrea Jones practices at 20 York St # T-209 Yale-New Hven Hospital, New Haven, CT 06510. The listed phone number is (203) 688-2259.

What is Andrea Jones's specialty?

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

Is Andrea Jones enrolled in Medicare?

Yes. Andrea 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.

Is Andrea Jones affiliated with any hospitals?

According to CMS data, Andrea Jones is affiliated with Peacehealth St John Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Jones was last updated on January 20, 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.