2026 NPPES data Ophthalmology Physician NPI 1972611697 M.D.
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ETHNIE JONES, M.D.

Ophthalmology Physician in RICHMOND, 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
2K
Medicare Part D claims · 632 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.6/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$278.13
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ETHNIE JONES, M.D. reported a CMS MIPS final score of 96.6/100 — above the 83.1 national average — and filed 2,447 Medicare Part D claims in 2023.

96.6/100
MIPS score · +14 vs avg
2K
Part D claims, 2023
64%
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.

ETHNIE JONES, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

ETHNIE JONES, M.D. 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).

What does the federal data show about ETHNIE JONES, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/25/2006

NPI 1972611697

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,447 72% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

96.6/100 13.5% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Ophthalmology Physician compares to other specialties among Virginia providers

Virginia providers

Ophthalmology Physician share within Virginia

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

Medicare quality performance — MIPS

ETHNIE JONES, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
96.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 96.6/100 vs national avg 83.1

0%100%National avg83%96.6%
MIPS final score (Ophthalmology Physician) — 96.6/100 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).

ETHNIE JONES, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 400 WESTHAMPTON STA, RICHMOND, VA, 23226, with a listed phone of (804) 287-4200. NPI 1972611697 was issued on 08/25/2006. 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 2,447 prescription claims written by this provider, covering 632 Medicare beneficiaries and totaling roughly $365K in drug spend, split 36% brand-name and 64% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.6/100 for the 2023 performance year, compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

400 WESTHAMPTON STA
RICHMOND, VA 23226

Provider Details

NPI 1972611697
Specialty Ophthalmology Physician
Credentials M.D.
Gender Female
NPI Issued 08/25/2006

CMS Quality Score (MIPS)

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

96.6
Final Score
Avg: 83.1
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ETHNIE 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.

EYE SURGEONS OF RICHMOND INC
RICHMOND, 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 ETHNIE JONES, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$278

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.

Brand vs generic prescribing mix · Above average

ETHNIE JONES, M.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 2,447 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.

2,447
Total Claims
$365K
Total Drug Cost
632
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,051
Total Day Supply
145,917
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$308K
Generic Drug Cost
$57K

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
1.22
Gender Split
66% female / 34% male
Age Distribution
<65: 20, 65-74: 255, 75-84: 256, 85+: 101

Top Prescribed Drugs (Medicare Part D)

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

What ETHNIE JONES, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
941
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
162
Dorzolamide Hcl
151
Brimonidine Tartrate
133
Erythromycin
Erythromycin Base
133
Prednisolone Acetate
125
Timolol Maleate
106
Restasis
Cyclosporine
96
Lumigan
Bimatoprost
74
Alphagan P
Brimonidine Tartrate
66

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

Ophthalmology Physician Overview

How ETHNIE JONES, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ETHNIE JONES, M.D.'s 2,447 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is ETHNIE JONES, M.D.'s specialty?
ETHNIE JONES, M.D. specializes in Ophthalmology Physician and practices in RICHMOND, Virginia. Credentials: M.D..
How much does ETHNIE JONES, M.D. prescribe under Medicare Part D?
In 2023, ETHNIE JONES, M.D. wrote 2,447 Medicare Part D claims totaling $365K in drug costs for 632 beneficiaries.
What is ETHNIE JONES, M.D.'s Medicare quality score?
ETHNIE JONES, M.D. has a CMS MIPS Final Score of 96.6/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ETHNIE JONES, M.D. located?
ETHNIE JONES, M.D. is located at 400 WESTHAMPTON STA, RICHMOND, VA, 23226. Phone: (804) 287-4200.
What is ETHNIE JONES, M.D.'s NPI number?
ETHNIE JONES, M.D.'s National Provider Identifier (NPI) is 1972611697, issued on 08/25/2006.
Does ETHNIE JONES, M.D. prescribe more brand-name or generic drugs?
ETHNIE JONES, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $308K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does ETHNIE JONES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ETHNIE JONES, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Dorzolamide Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ETHNIE JONES, M.D. accept Medicare?
ETHNIE JONES, M.D. appears in CMS Medicare data with 2,447 Part D claims and 632 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ETHNIE JONES, M.D.'s credentials?
ETHNIE JONES, M.D.'s NPI is 1972611697 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.
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