NPI registry status
Active
2026 NPPES data Pediatric Sports Medicine Physician NPI 1316350366 M.D., MPH
Verify on CMS → Charlene Jones, M.D., MPH
Pediatric Sports Medicine Physician in Springfield, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 211 in Pediatric Sports Medicine 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
79
Medicare Part D claims · 37 beneficiaries · Pediatric Sports Medicine Physician avg: 224
Industry payments
$27.07
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Charlene Jones, M.D., MPH filed 79 Medicare Part D claims in 2023 as a Pediatric Sports Medicine Physician in Springfield, Pennsylvania.
- 79
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1316350366 · Pediatric Sports Medicine Physician
NPI-10 · ENUM-MID · TAX-TRACE · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1316350366
- ENUM-MID 2014
- TAX-TRACE 211
- RX-TRACE 79
- BOOK-THIN 9 in Pennsylvania
- PHOTO-ENUM Ashley Brouillette · 2014
Charlene Jones, M.D., MPH's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
79 ≥ 0th percentile 0% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Charlene Jones, M.D., MPH practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Charlene Jones, M.D., MPH?
Quality data not reportedPrimary specialty
Pediatric Sports Medicine Physician
Medicare Part D claims
79 65% vs specialty avg
Specialty distribution in Pennsylvania
How Pediatric Sports Medicine Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Sports Medicine Physician. Verify directly:
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 | 1316350366 |
|---|---|
| Specialty | Pediatric Sports Medicine Physician |
| Credentials | M.D., MPH |
| Gender | Female |
| NPI Issued | 06/07/2014 |
Hospital and facility affiliations
Facilities where Charlene Jones, M.D., MPH 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.
Christiana Care Health Services Inc
Newark, DE
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 Charlene Jones, M.D., MPH. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
Avanos Medical
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Charlene Jones, M.D., MPH. To verify Charlene Jones, M.D., MPH's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
79
Total Claims
$2K
Total Drug Cost
37
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 101
- Total Day Supply
- 2,325
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 0.98
- Gender Split
- 65% female / 35% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Charlene Jones, M.D., MPH prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
14 claims
- Methylprednisolone
Methylprednisolone
13 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
12 claims
| Drug | Claims |
|---|---|
| Gabapentin | 14 |
| Methylprednisolone | 13 |
| Cyclobenzaprine Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pediatric Sports Medicine Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Pediatric Sports Medicine Physician Overview
How Charlene Jones, M.D., MPH fits within the Pediatric Sports Medicine Physician landscape nationally.
211
Pediatric Sports Medicine Physician Providers in US
39
States with Pediatric Sports Medicine Physician
224
Avg Claims per Provider
Charlene Jones, M.D., MPH's 79 claims are below the specialty average of 224.
Nationwide Pediatric Sports Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Jones, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Sports Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Jones.
One of 9 Pediatric Sports Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Karen Ballinger
MD
Philadelphia, PA
Dr. Elizabeth Barchi
MD
Chadds Ford, PA
Dr. Michael Beasley
M.D.
Philadelphia, PA
Elyse Jensen
Danville, PA
Dr. Kathleen O'Brien
MD
Philadelphia, PA
Compare Pediatric Sports Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Charlene Jones, M.D., MPH's specialty? ▼
Charlene Jones, M.D., MPH specializes in Pediatric Sports Medicine Physician and practices in Springfield, Pennsylvania. Credentials: M.D., MPH.
How much does Charlene Jones, M.D., MPH prescribe under Medicare Part D? ▼
In 2023, Charlene Jones, M.D., MPH wrote 79 Medicare Part D claims totaling $2K in drug costs for 37 beneficiaries.
Where is Charlene Jones, M.D., MPH located? ▼
Charlene Jones, M.D., MPH is located at 1001 BALTIMORE PIKE STE 14LL, Springfield, PA, 19064. Phone: (610) 690-2106.
What is Charlene Jones, M.D., MPH's NPI number? ▼
Charlene Jones, M.D., MPH's National Provider Identifier (NPI) is 1316350366, issued on 06/07/2014.
How many Pediatric Sports Medicine Physician providers are there in the US? ▼
There are 211 Pediatric Sports Medicine Physician providers across 39 states in the US. The average Pediatric Sports Medicine Physician provider writes 224 Medicare Part D claims per year.
What drugs does Charlene Jones, M.D., MPH prescribe most often? ▼
Based on 2023 Medicare Part D data, Charlene Jones, M.D., MPH's most frequently prescribed drugs include Gabapentin, Methylprednisolone, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charlene Jones, M.D., MPH accept Medicare? ▼
Charlene Jones, M.D., MPH appears in CMS Medicare data with 79 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charlene Jones, M.D., MPH's credentials? ▼
Charlene Jones, M.D., MPH's NPI is 1316350366 with credentials M.D., MPH. 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.
- 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
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.