Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREW G JONES MD, MPH
NPI 1588823256
Internal Medicine in Boston, MA

Active since June 06, 2008PECOS Enrolled
109 STATE ST STE 5, BOSTON, MA 02109(617) 505-1520(617) 928-8401 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Mar 4, 2024, Jul 21, 2022 and 4 more (7 updates tracked since 2016).

About Dr. Andrew G Jones Md, Mph NPPES

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

DR. ANDREW G JONES MD, MPH (NPI 1588823256) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (270361) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of University Of Massachusetts Medical School (2008).

NPPES Registry Identity

NPI1588823256
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREW G JONESCredential: MD, MPH
Location Address109 STATE ST STE 5Boston, MA 02109-2906
Mailing Address109 State St Ste 5Boston, MA 02109-2906 · (617) 505-1520 · Fax (617) 928-8401
Fax(617) 928-8401
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2008
Enumeration DateJune 6, 2008
Last NPPES UpdateOctober 26, 20267 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1588823256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 270361
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 270361 (MA)
109 STATE ST STE 5, Boston, MA 02109

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

Dr. Andrew G Jones Md, Mph 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 ID8527219203
PECOS Enrollment IDI20170802002361
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

3

Medicare enrollment records show Andrew Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
109 STATE STREET, 5TH FL
Boston, MA 02109
  • Reassigned Medicare billing, Massachusetts enrollment
  • 9 clinicians in this Medicare group
Internal Medicine
11 SHORE RD
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 221 clinicians in this Medicare group
Urology
41 MALL RD LAHEY HOSPITAL & MEDICAL CENTER
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • 477 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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services38 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
36 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02109 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers17 claims49 services$5.58 avg. paid by Medicare
Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$142.05 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
109 STATE ST STE 5
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST STE 5
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST STE 5
BOSTON, MA 02109
Dietitian, Registered
109 STATE ST STE 5
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST STE 5
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST STE 5
BOSTON, MA 02109

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 Andrew Jones's NPI number?

The NPI number for Andrew Jones is 1588823256. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Andrew Jones located?

Andrew Jones practices at 109 State St Ste 5, Boston, MA 02109. The listed phone number is (617) 505-1520.

What is Andrew Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Jones enrolled in Medicare?

Yes. Andrew 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 Andrew Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Jones reassigns Medicare benefits to 3 organizations: Form Health Associates Ma, P.C. (Boston, MA), Winchester Physician Associates, Inc (Winchester, MA) and Beth Israel Lahey Health Specialty Care, Inc. (Burlington, MA). 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 Andrew Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Jones accept?

Health plans from WellSense Health Plan list Andrew 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 Andrew Jones affiliated with any hospitals?

According to CMS data, Andrew Jones is affiliated with Mount Auburn Hospital, Northeast Hospital Corporation and Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Jones was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.