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

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
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: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

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 3 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, 3rd FloorJacksonville, FL 32224-0609 · (904) 223-3321 · Fax (904) 223-2169
Fax(904) 223-2169
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 30, 2005
Last NPPES UpdateAugust 2, 20233 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
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

Secondary Practice Locations 3

Location 11699 S 14th St Ste 16Fernandina Beach, FL 32034-1965 · Phone (904) 223-3321 · Fax (904) 223-2169
Location 21218 Alice StWaycross, GA 31501-4525 · Phone (904) 223-3321
Location 33408 Trout StBrunswick, GA 31520-3622 · Phone (912) 466-9111

Other Identifiers 3

OtherP00245527NC · Railroad Medicare
Medicaid5901262NC
Other139WUNC · Bcbs Nc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 11

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

Clinic/Center (Ambulatory Surgical)
5191 FIRST COAST TECH PKWY, 1ST FLOOR
JACKSONVILLE, FL 32224
Pain Medicine (Interventional Pain Medicine)
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Pain Medicine (Interventional Pain Medicine)
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Physician Assistant
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Orthopaedic Surgery (Foot and Ankle Surgery)
5191 FIRST COAST TECH PKWY
JACKSONVILLE, FL 32224
Physician Assistant
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Physician Assistant
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224
Nurse Practitioner (Family)
5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

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 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.

Where is Monica Carrion-jones located?

Monica Carrion-jones practices at 5191 First Coast Tech Pkwy 3rd Floor, Jacksonville, FL 32224. The listed phone number is (904) 223-3321.

What is Monica Carrion-jones's specialty?

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

Is Monica Carrion-jones enrolled in Medicare?

Yes. Monica Carrion-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.

What insurance does Monica Carrion-jones accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Monica Carrion-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 Monica Carrion-jones was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.