2026 NPPES data Podiatrist NPI 1194257345
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BRIAN JONES

Podiatrist in GREENVILLE, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
441
Medicare Part D claims · 205 beneficiaries · Podiatrist avg: 304
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.873/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$757.24
25 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BRIAN JONES is a Podiatrist ([object Object]) practicing in GREENVILLE, North Carolina with a Medicare Part D prescribing footprint of 441 claims across 205 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 88.873/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $757.24 across 25 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BRIAN JONES reported a CMS MIPS final score of 88.873 out of 100, above the 83.1 national average, and filed 441 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

BRIAN JONES at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/28/2017

NPI 1194257345

Primary specialty

Podiatrist

Mid-sized

10,498 US NPIs in this specialty

Medicare Part D claims

441 45% vs specialty avg

2023 prescription claims

Specialty avg: 304

MIPS final score

88.873/100 5.77300000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Podiatrist compares to other specialties among North Carolina providers

North Carolina providers

Podiatrist share within North Carolina

1. Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Podiatrist share within North Carolina

Medicare quality performance — MIPS

BRIAN JONES's 2023 MIPS final score plotted against the Podiatrist national average

High performer (top quartile)
MIPS Final Score
88.873/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Podiatrist) — 88.873/100 vs national avg 83.1

0%100%National avg83%88.9%
MIPS final score (Podiatrist) — 88.873/100 vs national avg 83.1

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).

BRIAN JONES is a Podiatrist provider practicing in GREENVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1194257345. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BRIAN JONES appears in the CMS NPPES registry as a Podiatrist provider at 1432 E FIRE TOWER RD, GREENVILLE, NC, 27858, with a listed phone of (252) 439-1150. NPI 1194257345 was issued on 03/28/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JONES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 441 prescription claims written by this provider, covering 205 Medicare beneficiaries and totaling roughly $28K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 3.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.873/100 for the 2023 performance year (Quality 80.7585, Cost 77.137), compared with the national average of 83.1.

Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1432 E FIRE TOWER RD
GREENVILLE, NC 27858

Provider Details

NPI 1194257345
Specialty Podiatrist
Gender Male
NPI Issued 03/28/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.873
Final Score
Avg: 83.1
80.7585
Quality
77.137
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN JONES 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.

FAMILY FOOT AND ANKLE PHYSICIANS PLLC
GREENVILLE, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BRIAN JONES. Source: openpaymentsdata.cms.gov.

Total received

$757

Largest payer

Tricoast Surgical Solutions LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

BRIAN JONES — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 441 2023 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 2023.

441
Total Claims
$28K
Total Drug Cost
205
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
461
Total Day Supply
10,026
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$19K
Generic Drug Cost
$9K
Opioid Claims
16 (3.6% rate)
Antibiotic Claims
53

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
2.32
Gender Split
60% female / 40% male
Age Distribution
<65: 56, 65-74: 91, 75-84: 43, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Methylprednisolone
74
Ketoconazole
64
Pregabalin
49
Gabapentin
29
Mupirocin
22
Terbinafine Hcl
22
Diclofenac Sodium
21
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
20
Celecoxib
19
Allopurinol
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Podiatrist Overview

How BRIAN JONES fits within the Podiatrist landscape nationally.

10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider

BRIAN JONES's 441 claims are above the specialty average of 304.

Nearby Podiatrist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as JONES.

Compare Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN JONES's specialty?
BRIAN JONES specializes in Podiatrist and practices in GREENVILLE, North Carolina.
How much does BRIAN JONES prescribe under Medicare Part D?
In 2023, BRIAN JONES wrote 441 Medicare Part D claims totaling $28K in drug costs for 205 beneficiaries.
What is BRIAN JONES's Medicare quality score?
BRIAN JONES has a CMS MIPS Final Score of 88.873/100 (Quality: 80.7585, Cost: 77.137). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN JONES located?
BRIAN JONES is located at 1432 E FIRE TOWER RD, GREENVILLE, NC, 27858. Phone: (252) 439-1150.
What is BRIAN JONES's NPI number?
BRIAN JONES's National Provider Identifier (NPI) is 1194257345, issued on 03/28/2017.
Does BRIAN JONES prescribe more brand-name or generic drugs?
BRIAN JONES's prescribing is 4% brand-name and 96% generic drugs by claim count, with $19K in brand drug costs.
Does BRIAN JONES prescribe opioids?
Yes, BRIAN JONES had 16 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
How many Podiatrist providers are there in the US?
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does BRIAN JONES prescribe most often?
Based on 2023 Medicare Part D data, BRIAN JONES's most frequently prescribed drugs include Methylprednisolone, Ketoconazole, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN JONES accept Medicare?
BRIAN JONES appears in CMS Medicare data with 441 Part D claims and 205 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN JONES's credentials?
BRIAN JONES's NPI is 1194257345. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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