Active NPI 1568694859 Individual Practitioner Male Practitioner

Dr. Nathan Michael Jones , MD

Emergency Medicine • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Jones, MD is a certified Emergency Medicine practicing in Springfield, IL. With approximately 17 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2009, Dr. Jones delivers high-quality medical care to the local community at 701 N 1ST ST.

Dr. Jones is affiliated with Midwest Emergency Department Specialists Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 N 1st St

Springfield, IL 627810001

Telephone 2177883156

Fax 2177886459

Associated Practice Facility / Clinic

🏢 Memorial Home Services Facility NPI 1982607123

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Springfield, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +3.1 yrs vs City Avg

City Avg: 13.9 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

128 Specialists

Practicing in Springfield, IL (3389 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (17 Years) 17 Yrs

Springfield Specialty Average (13.9 Years) 13.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	90	90	$1070.00	$173.34
99284 Emergency department visit with moderate level of medical decision making	32	32	$735.00	$119.60
99291 Critical care, first 30-74 minutes	17	17	$1355.00	$208.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	123	123	$1070.00	$174.60
99291 Critical care, first 30-74 minutes	23	23	$1355.00	$206.17
99284 Emergency department visit with moderate level of medical decision making	21	21	$735.00	$120.44
99283 Emergency department visit with low level of medical decision making	13	13	$400.00	$71.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	276	269	$1070.00	$176.47
99284 Emergency department visit with moderate level of medical decision making	81	81	$735.00	$121.97
99291 Critical care, first 30-74 minutes	57	57	$1355.00	$214.51
99283 Emergency department visit with low level of medical decision making	26	24	$400.00	$70.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	301	292	$1070.00	$180.39
99284 Emergency department visit with moderate level of medical decision making	93	92	$735.00	$124.07
99291 Critical care, first 30-74 minutes	82	80	$1355.00	$219.38
99283 Emergency department visit with low level of medical decision making	41	40	$400.00	$73.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	268	262	$1061.54	$176.10
99284 Emergency department visit with moderate level of medical decision making	91	87	$722.57	$122.15
99291 Critical care, first 30-74 minutes	67	67	$1221.48	$222.41
99283 Emergency department visit with low level of medical decision making	40	39	$450.63	$66.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	437	428	$877.83	$173.68
99284 Emergency department visit with moderate level of medical decision making	99	96	$586.36	$118.09
99291 Critical care, first 30-74 minutes	73	72	$951.15	$221.63
99283 Emergency department visit with low level of medical decision making	71	69	$398.73	$62.18
99282 Emergency department visit with straightforward medical decision making	11	11	$213.73	$41.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	462	448	$786.00	$171.97
99284 Emergency department visit with moderate level of medical decision making	126	122	$526.14	$117.87
99283 Emergency department visit with low level of medical decision making	73	71	$351.23	$62.14
99291 Critical care, first 30-74 minutes	34	34	$894.83	$221.55
99282 Emergency department visit with straightforward medical decision making	14	14	$209.00	$41.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	491	477	$768.00	$173.74
99284 Emergency department visit with moderate level of medical decision making	111	111	$514.00	$116.92
99283 Emergency department visit with low level of medical decision making	72	70	$345.00	$61.97
99291 Critical care, first 30-74 minutes	34	33	$887.00	$222.03
99282 Emergency department visit with straightforward medical decision making	11	11	$209.00	$41.33

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 036128390

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.

Hospital & Practice Group Affiliations

Midwest Emergency Department Specialists Ltd

701 N 1st St, Springfield, IL 627813757

Phone: 2177883156

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Dr. Bodo Schneider , MD

Emergency Medicine

NPI 1114963899

Doctor of Medicine (M.D.)

Dr. William Boston , MD

Emergency Medicine

NPI 1215971197

Doctor of Medicine (M.D.)

Dr. Sara Syeda , MD

Emergency Medicine

NPI 1235171984

Doctor of Medicine (M.D.)

Samuel Susko

Physician Assistant

NPI 1235923145

Dr. Erica Cacioppo , MD

Emergency Medicine

NPI 1265729107

Doctor of Medicine (M.D.)

Dr. Calvin Bell , MD

Emergency Medicine

NPI 1316983091

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2016

Registered at 701 N 1ST ST, SPRINGFIELD, IL 627810001 (Tel: 2177883156)

📍

Updated Business Mailing Address May 21, 2016

Registered at 701 N 1ST ST, SPRINGFIELD, IL 627810001 (Tel: 2177883156)

👤

Provider Name / Credentials Updated May 21, 2016

Recorded as NATHAN JONES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2016

Emergency Medicine (License #036128390 in IL)

🟢

Initial NPI Registration & Enumeration August 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Nathan Jones. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1568694859

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 20, 2009

Last Update: May 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 N 1st St

Springfield, IL 627810001

Phone: 2177883156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.