NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1962660829 MD/PHD
Verify on CMS → Brian Jones, MD/PHD
Pulmonary Disease Physician in Lebanon, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 201 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.8/100
▲ 3 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Brian Jones, MD/PHD reported a CMS MIPS final score of 86.8/100 - above the 83.5 national average - and filed 1,468 Medicare Part D claims in 2024.
- 86.8/100
- MIPS score · +3 vs avg
- 1K
- Part D claims, 2024
- 0%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Brian Jones, MD/PHD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1962660829), first enumerated 05/28/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,468 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 86.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1962660829 · Pulmonary Disease Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-ABOVE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1962660829
- ENUM-MID 2008
- TAX-MID 10K Pulmonary Disease
- MIPS-ABOVE 86.8/100
- RX-MID 1,468
- BOOK-THIN 45 in New Hampshire
- PHOTO-FINISH Paul Cusmano · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Jones · this pro…
Jones · this provider
86.8 MIPS pts
- John Wang · high…
John Wang
86.8 MIPS pts
- Paul Cusmano · n…
Paul Cusmano
86.8 MIPS pts
- David Holden · n…
David Holden
86.8 MIPS pts
- David Kim · near
David Kim
86.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Brian Jones, MD/PHD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
87 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Brian Jones, MD/PHD sits
This provider among pulmonary disease physician peers
Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Jones, MD/PHD writes more Part D claims than 62% of them and scores higher on MIPS quality than 53% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Brian Jones, MD/PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Brian Jones, MD/PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Brian Jones, MD/PHD?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,468 2% vs specialty avg
MIPS final score
86.8/100 3.3 pts vs avg
Specialty distribution in New Hampshire
How Pulmonary Disease Physician compares to other specialties among New Hampshire providers
Medicare quality performance, MIPS
Brian Jones, MD/PHD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 86.8/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1962660829 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD/PHD |
| Gender | Male |
| NPI Issued | 05/28/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
86.7878
Final Score
Measured-score avg: 83.5
75.9779
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Brian Jones, MD/PHD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Mary Hitchcock Memorial Hospital
★★★☆☆ 3/5
Lebanon, NH
Acute Care Hospitals
CMS CCN: 300003
Dartmouth-Hitchcock Clinic
Lebanon, NH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Brand-heavy
Brian Jones, MD/PHD - brand share 59.0%
Pulmonary Disease Physician average
59% brand-name claims vs 0% generic, on 1,468 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,468
Total Claims
$947K
Total Drug Cost
201
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,117
- Total Day Supply
- 58,832
- Brand vs Generic
- 59% brand / 0% generic
- Brand Drug Cost
- $930K
- Antibiotic Claims
- 101
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 1.61
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 33, 65-74: 102, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Brian Jones, MD/PHD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Trelegy Ellipta
Trelegy Ellipta
169 claims
- Prednisone
Prednisone
134 claims
- Montelukast Sodium
Montelukast Sodium
128 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
102 claims
- Symbicort
Symbicort
84 claims
- Advair Hfa 67
Advair Hfa
67 claims
- Breztri Aerosphere 56
Breztri Aerosphere
56 claims
- Budesonide-Formote… 46
Budesonide-Formoterol Fumarate
46 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 169 |
| Prednisone | 134 |
| Montelukast Sodium | 128 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 102 |
| Symbicort Budesonide/Formoterol Fumarate | 84 |
| Advair Hfa Fluticasone Propion/Salmeterol | 67 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 56 |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 46 |
| Spiriva Respimat Tiotropium Bromide | 45 |
| Azithromycin | 42 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Brian Jones, MD/PHD fits within the Pulmonary Disease Physician landscape nationally.
9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider
Brian Jones, MD/PHD's 1,468 claims are below the specialty average of 1,498.
Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Jones, both outside New Hampshire so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (86.8 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pulmonary Disease Physician Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Jones.
One of 45 Pulmonary Disease Physician providers enrolled in New Hampshire, 5 are shown here.
Dr. Fady Abou Rizk
MD
Laconia, NH
Dr. D. Akey
MD
Concord, NH
Dr. Ali Al-Alwan
MD
Dover, NH
Daniel Aridgides
M.D. PH.D.
Lebanon, NH
Dr. Graham Atkins
MD
Lebanon, NH
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Brian Jones, MD/PHD's specialty? ▼
Brian Jones, MD/PHD specializes in Pulmonary Disease Physician and practices in Lebanon, New Hampshire. Credentials: MD/PHD.
How much does Brian Jones, MD/PHD prescribe under Medicare Part D? ▼
In 2024, Brian Jones, MD/PHD wrote 1,468 Medicare Part D claims totaling $947K in drug costs for 201 beneficiaries.
What is Brian Jones, MD/PHD's Medicare quality score? ▼
Brian Jones, MD/PHD has a CMS MIPS Final Score of 86.8/100 (Quality: 76). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Jones, MD/PHD located? ▼
Brian Jones, MD/PHD is located at 1 MEDICAL CENTER DR, Lebanon, NH, 03756. Phone: (603) 650-5120.
What is Brian Jones, MD/PHD's NPI number? ▼
Brian Jones, MD/PHD's National Provider Identifier (NPI) is 1962660829, issued on 05/28/2008.
Does Brian Jones, MD/PHD prescribe more brand-name or generic drugs? ▼
Brian Jones, MD/PHD's prescribing is 59% brand-name and 0% generic drugs by claim count, with $930K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Brian Jones, MD/PHD prescribe most often? ▼
Based on 2024 Medicare Part D data, Brian Jones, MD/PHD's most frequently prescribed drugs include Trelegy Ellipta, Prednisone, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Jones, MD/PHD accept Medicare? ▼
Brian Jones, MD/PHD appears in CMS Medicare data with 1,468 Part D claims and 201 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Jones, MD/PHD's credentials? ▼
Brian Jones, MD/PHD's NPI is 1962660829 with credentials MD/PHD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.