NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1760478838 DO
Verify on CMS → Carl Jones, DO
Gastroenterology Physician in Nacogdoches, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,601 in Gastroenterology 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
3K
Medicare Part D claims · 668 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$1.7K
94 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carl Jones, DO reported a CMS MIPS final score of 95.5/100 - above the 83.1 national average - and filed 2,868 Medicare Part D claims in 2023.
- 95.5/100
- MIPS score · +12 vs avg
- 3K
- Part D claims, 2023
- 79%
- 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.
Carl Jones, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
96 Top 21% higher than 79% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Carl Jones, DO sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carl Jones, DO writes more Part D claims than 96% of them and scores higher on MIPS quality than 80% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Carl Jones, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Carl Jones, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Carl Jones, DO?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
2,868 244% vs specialty avg
MIPS final score
95.5/100 12.4 pts vs avg
Specialty distribution in Texas
How Gastroenterology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Carl Jones, DO's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 95.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 95.5/100 vs national avg 83.1
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).
Carl Jones, DO appears in the CMS NPPES registry as a Gastroenterology Physician provider holding DO credentials at 522 RUSSELL BLVD, Nacogdoches, TX, 75965, with a listed phone of (936) 569-2000. NPI 1760478838 was issued on 09/23/2005.
Medicare Part D records for calendar year 2023 show 2,868 prescription claims written by this provider, covering 668 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 21% brand-name and 79% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.5/100 for the 2023 performance year (Quality 100, Cost 85), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 enrolled providers across 54 states and an average of 833 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
Provider Details
| NPI | 1760478838 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 09/23/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.5007
Final Score
Avg: 83.1
100
Quality
85.0023
Cost
Reporting: Individual
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 Carl Jones, DO. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
ABBVIE INC.
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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Carl Jones, DO. To verify Carl Jones, DO's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Carl Jones, DO - brand share 21.0%
Gastroenterology Physician average
21% brand-name claims vs 79% generic, on 2,868 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.
2,868
Total Claims
$1.6M
Total Drug Cost
668
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,931
- Total Day Supply
- 110,206
- Brand vs Generic
- 21% brand / 79% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $158K
- Antibiotic Claims
- 50
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 87, 65-74: 329, 75-84: 202, 85+: 50
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carl Jones, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
493 claims
- Dicyclomine Hcl
Dicyclomine Hcl
235 claims
- Metoclopramide Hcl
Metoclopramide Hcl
221 claims
- Cimetidine
Cimetidine
208 claims
- Sutab 197
Sutab
197 claims
- Pantoprazole Sodium 176
Pantoprazole Sodium
176 claims
- Baclofen 169
Baclofen
169 claims
- Nortriptyline Hcl 156
Nortriptyline Hcl
156 claims
| Drug | Claims |
|---|---|
| Omeprazole | 493 |
| Dicyclomine Hcl | 235 |
| Metoclopramide Hcl | 221 |
| Cimetidine | 208 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 197 |
| Pantoprazole Sodium | 176 |
| Baclofen | 169 |
| Nortriptyline Hcl | 156 |
| Linzess Linaclotide | 151 |
| Mesalamine | 99 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Carl Jones, DO fits within the Gastroenterology Physician landscape nationally.
16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Carl Jones, DO's 2,868 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Jones.
Ali Aamar
Houston, TX
Abdullah Abdussalam
Mansfield, TX
Dr. Olufemi Abiodun
MD
Arlington, TX
Dr. Bincy Abraham
MD
Houston, TX
Dr. Cherian Abraham
M.D.
North Richland Hills, TX
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Carl Jones, DO's specialty? ▼
Carl Jones, DO specializes in Gastroenterology Physician and practices in Nacogdoches, Texas. Credentials: DO.
How much does Carl Jones, DO prescribe under Medicare Part D? ▼
In 2023, Carl Jones, DO wrote 2,868 Medicare Part D claims totaling $1.6M in drug costs for 668 beneficiaries.
What is Carl Jones, DO's Medicare quality score? ▼
Carl Jones, DO has a CMS MIPS Final Score of 95.5/100 (Quality: 100, Cost: 85). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carl Jones, DO located? ▼
Carl Jones, DO is located at 522 RUSSELL BLVD, Nacogdoches, TX, 75965. Phone: (936) 569-2000.
What is Carl Jones, DO's NPI number? ▼
Carl Jones, DO's National Provider Identifier (NPI) is 1760478838, issued on 09/23/2005.
Does Carl Jones, DO prescribe more brand-name or generic drugs? ▼
Carl Jones, DO's prescribing is 21% brand-name and 79% generic drugs by claim count, with $1.4M in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Carl Jones, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Carl Jones, DO's most frequently prescribed drugs include Omeprazole, Dicyclomine Hcl, Metoclopramide Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carl Jones, DO accept Medicare? ▼
Carl Jones, DO appears in CMS Medicare data with 2,868 Part D claims and 668 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carl Jones, DO's credentials? ▼
Carl Jones, DO's NPI is 1760478838 with credentials DO. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.