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MATTHEW JOSEPH JONES
NPI 1891175618
Emergency Medicine in Saint Paul, MN

Active since June 06, 2015PECOS Enrolled
100/100
CMS Quality Rating
640 JACKSON ST # MC11102F, SAINT PAUL, MN 55101(651) 254-3666 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Joseph Jones NPPES

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

MATTHEW JOSEPH JONES (NPI 1891175618) is an individual emergency medicine provider in Saint Paul, Minnesota, licensed in Minnesota (63548) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891175618
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW JOSEPH JONES
Location Address640 JACKSON ST # MC11102FSaint Paul, MN 55101
Mailing Address640 Jackson St # Mc11102fSaint Paul, MN 55101-2502 · (651) 254-5216
Phone(651) 254-3666
Sole ProprietorNo
Enumeration DateJune 6, 2015
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1891175618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 63548
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
640 JACKSON ST # MC11102F, Saint Paul, MN 55101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Joseph 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 Reassignment

Medicare enrollment records show Matthew Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Health Services
7.0 mi
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1316008212 (612) 273-7838

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.

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.
101 services96 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.
85 services77 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.
63 services61 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.
25 services25 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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.

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
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Other Providers at the Same Location NPPES 2

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

JASON M VAN VALKENBURG M.D.
Emergency Medicine
640 JACKSON ST # MC11102F
SAINT PAUL, MN 55101
Ramsey County (651) 254-3666
JONATHAN MICHAEL HARPER PA-C
Physician Assistant
640 JACKSON ST # MC11102F
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456

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 Matthew Jones's NPI number?

The NPI number for Matthew Jones is 1891175618. It was assigned to this individual provider in the NPPES registry on June 6, 2015.

Where is Matthew Jones located?

Matthew Jones practices at 640 Jackson St # Mc11102f, Saint Paul, MN 55101. The listed phone number is (651) 254-3666.

What is Matthew Jones's specialty?

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

Is Matthew Jones enrolled in Medicare?

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

Which organization bills Medicare for Matthew Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Jones reassigns Medicare benefits to Fairview Health Services (Minneapolis, MN). The 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 Matthew Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Jones accept?

Health plans from Sanford Health Plan list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Jones was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.