MR. MATTHEW THOMAS JONES FNP-C
NPI 1659756542
Nurse Practitioner - Family in Wickenburg, AZ
NPI Status: Active since July 21, 2015
- Individual
- Male
- Years of Experience 9
- Nurse Practitioner
- Family
- PECOS Enrolled
- Accepts Medicare Approved Payment
About MATTHEW JONES
Matthew Jones is a provider established in Wickenburg, Arizona and his medical specialization is Nurse Practitioner with a focus in family with more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1659756542 assigned on July 2015. The practitioner's primary taxonomy code is 363LF0000X with license number AP7963 (AZ). The provider is registered as an individual and his NPI record was last updated January 2024.
- NPI
- 1659756542
- Provider Name
- MR. MATTHEW THOMAS JONES FNP-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 520 ROSE LN WICKENBURG, AZ 85390
- Location Phone
- (928) 668-1845
- Mailing Address
- 523 ROSE LN WICKENBURG, AZ 85390
- Mailing Phone
- (928) 668-1833
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-21-2015
- Last Update Date
- 01-18-2024
- Code Navigator
A nurse practitioner (NP) like Matthew Jones is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Matthew Jones is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.08 for a new patient copayment and $25.51 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP7963
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Blue Cross Blue Shield of Arizona
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Bronze - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
Imperial Insurance Companies, Inc.
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
UnitedHealthcare
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Essential - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
- UHC Bronze Value HSA - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Matthew Jones is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789993817
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240212004195
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
Other DME (D1E)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
3 DME suppliers used 20 Medicare Claims 66 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85390 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.33
- Minimum New Patient Price $57.31
- Maximum New Patient Price $174.67
- Average New Patient Copayment $22.08
- Minimum New Patient Copayment $14.32
- Maximum New Patient Copayment $43.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.07
- Minimum Established Patient Price $17.74
- Maximum Established Patient Price $142.64
- Average Established Patient Copayment $25.51
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $35.66
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Jones is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
WICKENBURG COMMUNITY HOSPITAL | 520 ROSE LANE WICKENBURG, AZ 85390 | (928) 684-5421 | Critical Access Hospitals | |
LA PAZ REGIONAL HOSPITAL | 1200 WEST MOHAVE ROAD PARKER, AZ 85344 | (928) 669-9201 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 5 | 9 | 7 | 5 | 6 | 5 | 4 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 10 | 9 | 14 | 5 | 12 | 5 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 0 + 9 + 1 + 4 + 5 + 1 + 2 + 5 + 8 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1659756542 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1144203035 | DR. DENNIS A BARRACO DO Individual | Emergency Medicine | 520 ROSE LN WICKENBURG REGIONAL MED CENTER WICKENBURG, AZ 85390 (928) 684-5421 |
1174689053 | MRS. MAUREEN ELISE SERRANO R.D. Individual | Dietitian, Registered | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-5421 |
1922131655 | DESERT INTEGRATED MEDICINE, LLC Organization | Family Medicine | 520 ROSE LN SUITE A WICKENBURG, AZ 85390 (928) 668-0222 |
1972841146 | ARIZONA EM-1 MEDICAL SERVICES, PC Organization | Nurse Practitioner (Acute Care) | 520 ROSE LN WICKENBURG COMMUNITY HOSPITAL WICKENBURG, AZ 85390 (928) 684-5421 |
1770829475 | HASSAYAMPA INPATIENT SERVICES, PLLC Organization | Hospitalist | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-5421 |
1669815056 | TX GOLD INPATIENT SERVICES, PLLC Organization | Hospitalist | 520 ROSE LN WICKENBURG COMMUNITY HOSPITAL WICKENBURG, AZ 85390 (928) 684-5421 |
1316283013 | ROSE LANE EMERGENCY PHYSICIANS LLC Organization | Emergency Medicine | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-5421 |
1417359753 | WICKENBURG HOSPITAL PHARMACY Organization | General Acute Care Hospital (Rural) | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-4980 |
1598168718 | MARISA SANDRA STEADMAN PT, DPT, ATC Individual | Physical Therapist | 520 ROSE LN WICKENBURG, AZ 85390 (406) 951-0850 |
1902209018 | CHRISTOPHER COOK Individual | Physical Therapist | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-5529 |
1861895641 | DR. MELISSA JOAN ANDERSON PT, DPT Individual | Physical Therapist | 520 ROSE LN PHYSICAL THERAPY DEPARTMENT WICKENBURG, AZ 85390 (928) 684-5528 |
1427454065 | DR. KENNETH WORLANYO WUTOH PT, DPT, CKPI Individual | Physical Therapist | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-3604 |
1205842903 | PATRICK DEAN LYNCH M.D. Individual | Family Medicine | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-5421 |
1447330741 | MITCHELL WAGNER MD Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-4365 |
1912367459 | SAMER MUALA MD INC Organization | Family Medicine | 520 ROSE LN WICKENBURG, AZ 85390 (702) 453-3799 |
1720438161 | VITAL PHYSICIANS PLLC Organization | Internal Medicine | 520 ROSE LN WICKENBURG, AZ 85390 (702) 453-3799 |
1851832885 | MICHAEL BACON PT Individual | Physical Therapist | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-5529 |
1093222754 | MS. WENDY THOMAS DPT Individual | Physical Therapist | 520 ROSE LN WICKENBURG, AZ 85390 (928) 648-5421 |
1174026116 | ANU HOSPITALIST PLLC Organization | Internal Medicine | 520 ROSE LN WICKENBURG, AZ 85390 (702) 453-3799 |
1902302110 | AUDREY JACOBSEN DPT Individual | Physical Therapist | 520 ROSE LN WICKENBURG, AZ 85390 (928) 684-5529 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659756542, enumerated in the NPI registry as an "individual" on July 21, 2015
The provider is located at 520 Rose Ln Wickenburg, Az 85390 and the phone number is (928) 668-1845
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 9 years of experience.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Imperial. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.33 with an average copayment of $22.08 for new patient appointments. Established patients should expect a typical charge of $102.07 and an average copayment of 25.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): WICKENBURG COMMUNITY HOSPITAL and LA PAZ REGIONAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 21, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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