MR. MATTHEW ROBERT JONES (ACNP) – Nurse Practitioner, NPI 1093055402
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. MATTHEW ROBERT JONES (ACNP)
11188 TESSON FERRY RD
SUITE 100
SAINT LOUIS, MO 631236962
Phone: (314) 849-5300
Fax: (314) 849-2014
Type: Mailing
509 HAMACHER ST STE 202
WATERLOO, IL 622981592
Phone: (618) 939-4200
Fax: (618) 939-4256
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $569.
Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.
Last reported payment date: 2024-02-05 • Largest payer in this snapshot: AngioDynamics, Inc. ($247).
Total Amount
$569
General + Research + Ownership
Payments
9
Total payment records
General Amount
$569
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130617000402 | I | Nurse Practitioner | MO | TBD |
| I20170606001632 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 194 | 140 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 26 | 25 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 26 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nephrology, Internal Medicine | IL |
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