2026 NPPES data Pulmonary Disease Physician NPI 1194712414 MD
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DAVID JONES, MD

Pulmonary Disease Physician in ONANCOCK, Virginia. 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
3K
Medicare Part D claims · 350 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
94.0775/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$20.45
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DAVID JONES, MD is a Pulmonary Disease Physician ([object Object]) practicing in ONANCOCK, Virginia with a Medicare Part D prescribing footprint of 3K claims across 350 beneficiaries . Their CMS MIPS Final Score of 94.0775/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $20.45 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DAVID JONES, MD reported a CMS MIPS final score of 94.0775 out of 100, above the 83.1 national average, and filed 3,122 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DAVID JONES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DAVID JONES, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/03/2005

NPI 1194712414

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

3,122 114% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

94.0775/100 10.977500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Pulmonary Disease Physician compares to other specialties among Virginia providers

Virginia providers

Pulmonary Disease Physician share within Virginia

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Virginia

Medicare quality performance — MIPS

DAVID JONES, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
94.0775/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 94.0775/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Pulmonary Disease Physician) — 94.0775/100 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).

DAVID JONES, MD is a Pulmonary Disease Physician provider practicing in ONANCOCK, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1194712414. 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.

DAVID JONES, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 20486 MARKET STREET, ONANCOCK, VA, 23417, with a listed phone of (757) 302-2700. NPI 1194712414 was issued on 10/03/2005. 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 3,122 prescription claims written by this provider, covering 350 Medicare beneficiaries and totaling roughly $720K in drug spend. 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 94.0775/100 for the 2023 performance year (Quality 90.6515), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

20486 MARKET STREET
ONANCOCK, VA 23417

Provider Details

NPI 1194712414
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 10/03/2005

CMS Quality Score (MIPS)

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

94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DAVID JONES, MD 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.

RIVERSIDE PHYSICIAN SERVICES INC
NASSAWADOX, VA

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 DAVID JONES, MD. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

GlaxoSmithKline, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,122
Total Claims
$720K
Total Drug Cost
350
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,134
Total Day Supply
145,130
Generic Drug Cost
$39K
Antibiotic Claims
125

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.58
Gender Split
60% female / 40% male
Age Distribution
<65: 46, 65-74: 150, 75-84: 122, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
282
Montelukast Sodium
160
Prednisone
160
Spiriva Respimat
Tiotropium Bromide
154
Breo Ellipta
Fluticasone/Vilanterol
143
Symbicort
Budesonide/Formoterol Fumarate
143
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
99
Atorvastatin Calcium
97
Amlodipine Besylate
82
Incruse Ellipta
Umeclidinium Bromide
82

* 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 DAVID JONES, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

DAVID JONES, MD's 3,122 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Virginia

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID JONES, MD's specialty?
DAVID JONES, MD specializes in Pulmonary Disease Physician and practices in ONANCOCK, Virginia. Credentials: MD.
How much does DAVID JONES, MD prescribe under Medicare Part D?
In 2023, DAVID JONES, MD wrote 3,122 Medicare Part D claims totaling $720K in drug costs for 350 beneficiaries.
What is DAVID JONES, MD's Medicare quality score?
DAVID JONES, MD has a CMS MIPS Final Score of 94.0775/100 (Quality: 90.6515). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID JONES, MD located?
DAVID JONES, MD is located at 20486 MARKET STREET, ONANCOCK, VA, 23417. Phone: (757) 302-2700.
What is DAVID JONES, MD's NPI number?
DAVID JONES, MD's National Provider Identifier (NPI) is 1194712414, issued on 10/03/2005.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does DAVID JONES, MD prescribe most often?
Based on 2023 Medicare Part D data, DAVID JONES, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID JONES, MD accept Medicare?
DAVID JONES, MD appears in CMS Medicare data with 3,122 Part D claims and 350 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID JONES, MD's credentials?
DAVID JONES, MD's NPI is 1194712414 with credentials MD. 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