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

DR. MONICA J CARRION-JONES MD
NPI 1972587301
Physical Medicine & Rehabilitation in Jacksonville, FL

Q: What is Monica Carrion-jones's NPI number?

The NPI number for Monica Carrion-jones is 1972587301. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Monica Carrion-jones's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Active since November 30, 2005PECOS Enrolled

75/100

CMS Quality Rating

5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224(904) 223-3321(904) 223-2169 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2023, Sep 28, 2022, Jun 2, 2021 (3 updates tracked since 2021).

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About Dr. Monica J Carrion-jones Md NPPES

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

DR. MONICA J CARRION-JONES MD (NPI 1972587301) is an individual physical medicine & rehabilitation provider in Jacksonville, Florida, licensed in Florida (ME150631) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1972587301

Entity TypeIndividualFemale

Primary Taxonomy208100000X

Provider Legal NameDR. MONICA J CARRION-JONESCredential: MD

Location Address5191 FIRST COAST TECH PKWY, 3RD FLOORJacksonville, FL 32224-0609

Mailing Address5191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · (904) 223-3321 · Fax (904) 223-2169

Phone(904) 223-3321

Fax(904) 223-2169

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 30, 2005

Last NPPES UpdateOctober 19, 20263 updates tracked since enumeration

NPPES CertifiedOctober 19, 2026

✔ NPI 1972587301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians

Taxonomy Code208100000X

Licenses✔ Licensed in FL · ME150631✔ Licensed in GA · 76314

Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Also ListedPhysical Medicine & Rehabilitation · Neuromuscular MedicineTaxonomy 2081N0008X · License 2005-00724 (NC)

5191 FIRST COAST TECH PKWY, Jacksonville, FL 32224

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Secondary Practice Locations 4

Location 11218 Alice StWaycross, GA 31501-4525 · Phone (904) 223-3321

Location 251 Lindsey LnSaint Marys, GA 31558-1636 · Phone (912) 590-0973 · Fax (912) 590-0180

Location 33408 Trout StBrunswick, GA 31520-3622 · Phone (912) 466-9111

Location 41699 S 14th St Ste 16Fernandina Beach, FL 32034-1965 · Phone (904) 223-3321 · Fax (904) 223-2169

Other Identifiers 3

Other139WUNC · Bcbs Nc

OtherP00245527NC · Railroad Medicare

Medicaid5901262NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.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. Monica J Carrion-jones Md 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 ID1951336668

PECOS Enrollment IDI20160802000319, I20210610000768

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

Medicare enrollment records show Monica Carrion-jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jacksonville Spine Center PA

Same address

Pain Medicine

5191 FIRST COAST TECH PKWY
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment
30 clinicians in this Medicare group

NPI 1881643757 (904) 223-3321

Consultants In Pain Medicine, LLC

64 mi

Interventional Pain Medicine

3408 TROUT ST
Brunswick, GA 31520

Reassigned Medicare billing, Georgia enrollment
12 clinicians in this Medicare group

NPI 1902852130 (912) 466-9111

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 7

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

450 services418 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

172 services172 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

150 services148 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

89 services88 patients

Nerve conduction, 13 or more studies 95913

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

24 services24 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.

15 services14 patients

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

20%351 patients1/55-star benchmark: 92%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%1,577 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%2,530 patients5/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%3,001 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

86%1,584 patients4/55-star benchmark: 97%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

17%468 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

98%1,117 patients5/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

6%301 patients1/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 99% · 156 patients

Patients tobacco: 100% · 743 patients

99%743 patients5/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

52%1,584 patients3/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

2%1,584 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

CENTURION SURGERY CENTER OF JACKSONVILLE, LLC

Clinic/Center (Ambulatory Surgical)

5191 FIRST COAST TECH PKWY, 1ST FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 593-5146

DAVID RYAN SALEK M.D.

Pain Medicine (Interventional Pain Medicine)