Active NPI
Matthew B Jones, MD
- Pain Medicine Physician
- Manchester, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- R9N80
- Practice address
- 1621 Dalton Ter
Manchester, MO 63021 - Phone
- (636) 399-3073
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R9N80 | MO | |
| Pediatric Anesthesiology Physician | 207LP3000X | R9N80 | MO | |
| Pain Medicine Physician | 208VP0000X | 35.096959 | OH | |
| Pain Medicine Physician | 208VP0000X | R9N80 | MO | Primary |
Addresses
Primary practice location
1621 Dalton Ter
Manchester, MO 63021
Mailing address
1621 Dalton Ter
Manchester, MO 63021-7078
Phone (636) 399-3073
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35.096959 | Other | OH | OHIO LICENSE |
| H142800 | Other | OH | MEDICARE PTAN - COMPREHENSIVE PAIN MANAGAEMENT SPECIALISTS |
| 203347505 | Medicaid | MO | |
| 3139062 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rutgers School of Dental Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Western Anesthesiology Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- mjones32865@ehrdirect.uhhospitals.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Anesthesiology
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533340800000",
"number": "1629096052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 DALTON TER",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "630217078",
"telephone_number": "636-399-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 DALTON TER",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "63021",
"telephone_number": "636-399-3073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MATTHEW",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2018-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "R9N80",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "MO",
"license": "R9N80",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "35.096959",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MO",
"license": "R9N80",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO LICENSE",
"identifier": "35.096959",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - COMPREHENSIVE PAIN MANAGAEMENT SPECIALISTS",
"identifier": "H142800",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203347505",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3139062",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.