GARY WAYNE JONES
NPI 1568408227
Family Medicine in Duluth, MN

Active since June 21, 2006PECOS Enrolled
407 E 3RD ST, DULUTH, MN 55805(218) 786-4000 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gary Wayne Jones NPPES

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

GARY WAYNE JONES (NPI 1568408227) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (27729) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568408227
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY WAYNE JONES
Location Address407 E 3RD STDuluth, MN 55805-1950
Mailing Address407 E 3rd StDuluth, MN 55805-1950 · (218) 786-4000
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 27, 2011
✔ NPI 1568408227 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 · 27729
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.
407 E 3RD ST, Duluth, MN 55805

Other Identifiers 3

Medicare PIN080006143MN
Medicaid250870200MN
Medicare UPINA98094

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Wayne Jones 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 Reassignments

7

Medicare enrollment records show Gary Jones reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Care
407 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Marys Medical Center
  • 179 clinicians in this Medicare group
Critical Access
3500 TOWER AVE
Superior, WI 54880
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Marys Hospital Of Superior
  • 283 clinicians in this Medicare group
Critical Access
4572 COUNTY ROAD 61
Moose Lake, MN 55767
  • Reassigned Medicare billing, Minnesota enrollment
  • 213 clinicians in this Medicare group
Critical Access Hospital
5211 HIGHWAY 110
Aurora, MN 55705
  • Reassigned Medicare billing, Minnesota enrollment
  • 136 clinicians in this Medicare group
General Acute Care Hospital
901 9TH ST N
Virginia, MN 55792
  • Reassigned Medicare billing, Minnesota enrollment
  • 171 clinicians in this Medicare group
Critical Access
705 LUNDORFF DRIVE SOUTH
Sandstone, MN 55072
  • Reassigned Medicare billing, Minnesota enrollment
  • 159 clinicians in this Medicare group
Critical Access Hospital
1542 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 171 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 3

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.
129 services123 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.
69 services69 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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.

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.

Physical Therapist
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER
DULUTH, MN 55805
Occupational Therapist
407 E 3RD ST
DULUTH, MN 55805
Emergency Medicine
407 E 3RD ST
DULUTH, MN 55805
Physical Therapist
407 E 3RD ST
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
407 E 3RD ST
DULUTH, MN 55805
Nurse Practitioner (Neonatal)
407 E 3RD ST
DULUTH, MN 55805
Clinical Nurse Specialist (Adult Health)
407 E 3RD ST
DULUTH, MN 55805
Occupational Therapist
407 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805

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 Gary Jones's NPI number?

The NPI number for Gary Jones is 1568408227. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Gary Jones located?

Gary Jones practices at 407 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-4000.

What is Gary Jones's specialty?

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

Is Gary Jones enrolled in Medicare?

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

Which organizations bill Medicare for Gary Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Jones reassigns Medicare benefits to 7 organizations: St. Mary's Medical Center (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI), Essentia Health Moose Lake (Moose Lake, MN), Northern Pines Medical Center (Aurora, MN), Essentia Health Virginia, LLC (Virginia, MN) and 2 more organizations, listed in the Medicare section above. 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 Gary 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 Gary Jones was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.