MICHAEL JONES M.D.
NPI 1639189053
Emergency Medicine in Salinas, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1441 CONSTITUTION BLVD, SALINAS, CA 93906(831) 647-7611 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Mar 21, 2021, Oct 14, 2020 and 2 more (5 updates tracked since 2019).

About Michael Jones M.d. NPPES

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

MICHAEL JONES M.D. (NPI 1639189053) is an individual emergency medicine provider in Salinas, California, licensed in Illinois (036150519) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of University Of Utah School Of Medicine (2002).

NPPES Registry Identity

NPI1639189053
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL JONESCredential: M.D.
Location Address1441 CONSTITUTION BLVDSalinas, CA 93906-3100
Mailing Address4000 Civic Center, Ste 206San Rafael, CA 94903 · (415) 925-8865 · Fax (415) 446-0134
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2002
Enumeration DateAugust 8, 2006
Last NPPES UpdateSeptember 18, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1639189053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036150519✔ Licensed in WI · 3890-320✔ Licensed in IA · MD-51905✔ Licensed in IN · 01081912A✔ Licensed in MO · 2019043335✔ Licensed in AZ · C1-0025835✔ Licensed in CA · A86060
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.
1441 CONSTITUTION BLVD, Salinas, CA 93906

Other Identifiers 1

Medicaid00A860600CA

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

Michael Jones M.d. 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 ID1658393509
PECOS Enrollment IDI20051220000872
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

6

Medicare enrollment records show Michael Jones reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1441 CONSTITUTION BOULEVARD
Salinas, CA 93906
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1548216260 (California)
  • 2,323 clinicians in this Medicare group
Emergency Medicine
14502 W MEEKER BLVD
Sun City, AZ 85375
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
Emergency Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
Emergency Medicine
1512 N GREEN MOUNT RD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 119 clinicians in this Medicare group
Emergency Medicine
9555 76TH ST
Pleasant Prairie, WI 53158
  • Reassigned Medicare billing, Wisconsin enrollment
  • 104 clinicians in this Medicare group
Emergency Medicine
2701 N DECATUR RD
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 128 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 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.
121 services115 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.
89 services84 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.
54 services52 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93906 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Nurse's Aide
1441 CONSTITUTION BLVD, BLDG 200, FLOOR 1, SUITE 101
SALINAS, CA 93906
Nurse's Aide
1441 CONSTITUTION BLVD, BLDG 200, FLOOR 1, SUITE 103
SALINAS, CA 93906
Day Training/Habilitation Specialist
1441 CONSTITUTION BLVD
SALINAS, CA 93906
Student in an Organized Health Care Education/Training Program
1441 CONSTITUTION BLVD
SALINAS, CA 93906
Behavior Analyst
1441 CONSTITUTION BLVD
SALINAS, CA 93906
Social Worker (Clinical)
1441 CONSTITUTION BLVD
SALINAS, CA 93906
Internal Medicine
1441 CONSTITUTION BLVD, BLDG 151 SUITE 16
SALINAS, CA 93906
Technician, Other
1441 CONSTITUTION BLVD, SUITE 202
SALINAS, CA 93906

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 Michael Jones's NPI number?

The NPI number for Michael Jones is 1639189053. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Michael Jones located?

Michael Jones practices at 1441 Constitution Blvd, Salinas, CA 93906. The listed phone number is (831) 647-7611.

What is Michael Jones's specialty?

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

Is Michael Jones enrolled in Medicare?

Yes. Michael 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 Michael Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jones reassigns Medicare benefits to 6 organizations: Cep America - California (Salinas, CA), Cep America-Arizona, PC (Sun City, AZ), Cepamerica Illinois LLP (Belleville, IL), Vituity - Illinois Auc LLP (O Fallon, IL), Vituity-Wisconsin Em Sc (Pleasant Prairie, WI) and 1 more organization, 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 Michael Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Jones accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Michael 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 Michael Jones affiliated with any hospitals?

According to CMS data, Michael Jones is affiliated with Houston Healthcare and Hannibal Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Jones was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.