2026 NPPES data Otolaryngology Physician NPI 1457340853 M.D.
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CRAIG JONES, M.D.

Otolaryngology Physician in MASHPEE, Massachusetts. 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
863
Medicare Part D claims · 386 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: CRAIG JONES, M.D. is a Otolaryngology Physician ([object Object]) practicing in MASHPEE, Massachusetts with a Medicare Part D prescribing footprint of 863 claims across 386 beneficiaries — 5% brand-name prescribing .

What stands out: CRAIG JONES, M.D. filed 863 Medicare Part D claims in 2023 across MASHPEE, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CRAIG JONES, M.D. 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).

CRAIG JONES, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 10/18/2005

NPI 1457340853

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

863 70% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Massachusetts

How Otolaryngology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Otolaryngology Physician share within Massachusetts

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

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).

CRAIG JONES, M.D. is a Otolaryngology Physician provider practicing in MASHPEE, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1457340853. 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.

CRAIG JONES, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 5 INDUSTRIAL DR, MASHPEE, MA, 02649, with a listed phone of (508) 539-2444. NPI 1457340853 was issued on 10/18/2005. 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 863 prescription claims written by this provider, covering 386 Medicare beneficiaries and totaling roughly $68K in drug spend, split 5% brand-name and 95% generic by claim count. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

5 INDUSTRIAL DR
MASHPEE, MA 02649

Provider Details

NPI 1457340853
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 10/18/2005

Hospital and facility affiliations

Facilities where CRAIG JONES, M.D. 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.

MASSACHUSETTS EYE AND EAR ASSOCIATES, INC
BOSTON, MA

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

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to CRAIG JONES, M.D.. To verify CRAIG JONES, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CRAIG JONES, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 863 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.

863
Total Claims
$68K
Total Drug Cost
386
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,439
Total Day Supply
39,513
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$36K
Generic Drug Cost
$32K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
0.96
Gender Split
57% female / 43% male
Age Distribution
<65: 14, 65-74: 156, 75-84: 168, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Azelastine Hcl
173
Pantoprazole Sodium
146
Fluticasone Propionate
111
Fluocinolone Acetonide Oil
65
Ofloxacin
43
Azelastine-Fluticasone
Azelastine/Fluticasone
35
Clotrimazole
28
Mupirocin
27
Lansoprazole
22
Ipratropium Bromide
21

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

Otolaryngology Physician Overview

How CRAIG JONES, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

CRAIG JONES, M.D.'s 863 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Massachusetts

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG JONES, M.D.'s specialty?
CRAIG JONES, M.D. specializes in Otolaryngology Physician and practices in MASHPEE, Massachusetts. Credentials: M.D..
How much does CRAIG JONES, M.D. prescribe under Medicare Part D?
In 2023, CRAIG JONES, M.D. wrote 863 Medicare Part D claims totaling $68K in drug costs for 386 beneficiaries.
Where is CRAIG JONES, M.D. located?
CRAIG JONES, M.D. is located at 5 INDUSTRIAL DR, MASHPEE, MA, 02649. Phone: (508) 539-2444.
What is CRAIG JONES, M.D.'s NPI number?
CRAIG JONES, M.D.'s National Provider Identifier (NPI) is 1457340853, issued on 10/18/2005.
Does CRAIG JONES, M.D. prescribe more brand-name or generic drugs?
CRAIG JONES, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $36K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does CRAIG JONES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CRAIG JONES, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Pantoprazole Sodium, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG JONES, M.D. accept Medicare?
CRAIG JONES, M.D. appears in CMS Medicare data with 863 Part D claims and 386 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG JONES, M.D.'s credentials?
CRAIG JONES, M.D.'s NPI is 1457340853 with credentials M.D.. 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.
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