2026 NPPES data Family Medicine Physician NPI 1568408227
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GARY JONES

Family Medicine Physician in DULUTH, Minnesota. 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
176
Medicare Part D claims · 136 beneficiaries · Family Medicine Physician avg: 3K

What the federal data shows

GARY JONES filed 176 Medicare Part D claims in 2023 as a Family Medicine Physician in DULUTH, Minnesota.

176
Part D claims, 2023

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.

GARY JONES's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

176 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

GARY JONES practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about GARY JONES?

Quality data not reported

NPI registry status

Active

Issued 06/21/2006

NPI 1568408227

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

176 95% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Minnesota

How Family Medicine Physician compares to other specialties among Minnesota providers

Minnesota providers

Family Medicine Physician share within Minnesota

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Family Medicine 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).

GARY JONES appears in the CMS NPPES registry as a Family Medicine Physician provider at 407 E 3RD ST, DULUTH, MN, 55805, with a listed phone of (218) 786-4000. NPI 1568408227 was issued on 06/21/2006. 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 176 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 20.5%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

407 E 3RD ST
DULUTH, MN 55805

Provider Details

NPI 1568408227
Specialty Family Medicine Physician
Gender Male
NPI Issued 06/21/2006

Medicare Part D Prescribing Data

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

176
Total Claims
$7K
Total Drug Cost
136
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
177
Total Day Supply
1,623
Generic Drug Cost
$2K
Opioid Claims
36 (20.5% rate)
Antibiotic Claims
61

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.54
Gender Split
57% female / 43% male
Age Distribution
<65: 21, 65-74: 62, 75-84: 33, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What GARY JONES 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
24
Cephalexin
21
Prednisone
18
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11

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

Family Medicine Physician Overview

How GARY JONES fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

GARY JONES's 176 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Minnesota

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GARY JONES's specialty?
GARY JONES specializes in Family Medicine Physician and practices in DULUTH, Minnesota.
How much does GARY JONES prescribe under Medicare Part D?
In 2023, GARY JONES wrote 176 Medicare Part D claims totaling $7K in drug costs for 136 beneficiaries.
Where is GARY JONES located?
GARY JONES is located at 407 E 3RD ST, DULUTH, MN, 55805. Phone: (218) 786-4000.
What is GARY JONES's NPI number?
GARY JONES's National Provider Identifier (NPI) is 1568408227, issued on 06/21/2006.
Does GARY JONES prescribe opioids?
Yes, GARY JONES had 36 opioid claims in 2023 with an opioid prescribing rate of 20.5%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does GARY JONES prescribe most often?
Based on 2023 Medicare Part D data, GARY JONES's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Cephalexin, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARY JONES accept Medicare?
GARY JONES appears in CMS Medicare data with 176 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARY JONES's credentials?
GARY JONES's NPI is 1568408227. 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