2026 NPPES data Gynecology Physician NPI 1134128119 M.D.
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GENE JONES, M.D.

Gynecology Physician in PORT ARTHUR, Texas. 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
943
Medicare Part D claims · 190 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$122.49
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GENE JONES, M.D. filed 943 Medicare Part D claims in 2023 as a Gynecology Physician in PORT ARTHUR, Texas, prescribing 88% generic.

943
Part D claims, 2023
88%
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.

GENE JONES, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

943 Top 25% higher than 75% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 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 certification likely (heuristic — not verified)

GENE 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).

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

Quality data not reported

NPI registry status

Active

Issued 07/20/2005

NPI 1134128119

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

943 220% vs specialty avg

2023 prescription claims

Specialty avg: 295

Specialty distribution in Texas

How Gynecology Physician compares to other specialties among Texas providers

Texas providers

Gynecology Physician share within Texas

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

Specialty board-certification context

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

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

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

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

GENE JONES, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 2875 JIMMY JOHNSON BLVD STE 100, PORT ARTHUR, TX, 77640, with a listed phone of (409) 729-9222. NPI 1134128119 was issued on 07/20/2005. 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 943 prescription claims written by this provider, covering 190 Medicare beneficiaries and totaling roughly $105K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.2%. 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.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

2875 JIMMY JOHNSON BLVD STE 100
PORT ARTHUR, TX 77640

Provider Details

NPI 1134128119
Specialty Gynecology Physician
Credentials M.D.
Gender Male
NPI Issued 07/20/2005

Hospital and facility affiliations

Facilities where GENE 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.

STEPHANIE P. CUNNINGHAM DO PA
PORT ARTHUR, TX

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 GENE JONES, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$122

Largest payer

PFIZER 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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to GENE JONES, M.D.. To verify GENE JONES, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

GENE JONES, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 943 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.

943
Total Claims
$105K
Total Drug Cost
190
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,038
Total Day Supply
58,294
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$80K
Generic Drug Cost
$25K
Opioid Claims
21 (2.2% rate)
Antibiotic Claims
48

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
0.98

Top Prescribed Drugs (Medicare Part D)

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

What GENE 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
Estradiol
116
Atorvastatin Calcium
54
Valacyclovir
Valacyclovir Hcl
45
Simvastatin
43
Levothyroxine Sodium
40
Gabapentin
39
Alprazolam
34
Myrbetriq
Mirabegron
34
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
23
Alendronate Sodium
22

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

Gynecology Physician Overview

How GENE JONES, M.D. fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

GENE JONES, M.D.'s 943 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Texas

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

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

Frequently Asked Questions

What is GENE JONES, M.D.'s specialty?
GENE JONES, M.D. specializes in Gynecology Physician and practices in PORT ARTHUR, Texas. Credentials: M.D..
How much does GENE JONES, M.D. prescribe under Medicare Part D?
In 2023, GENE JONES, M.D. wrote 943 Medicare Part D claims totaling $105K in drug costs for 190 beneficiaries.
Where is GENE JONES, M.D. located?
GENE JONES, M.D. is located at 2875 JIMMY JOHNSON BLVD STE 100, PORT ARTHUR, TX, 77640. Phone: (409) 729-9222.
What is GENE JONES, M.D.'s NPI number?
GENE JONES, M.D.'s National Provider Identifier (NPI) is 1134128119, issued on 07/20/2005.
Does GENE JONES, M.D. prescribe more brand-name or generic drugs?
GENE JONES, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $80K in brand drug costs.
Does GENE JONES, M.D. prescribe opioids?
Yes, GENE JONES, M.D. had 21 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does GENE JONES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GENE JONES, M.D.'s most frequently prescribed drugs include Estradiol, Atorvastatin Calcium, Valacyclovir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GENE JONES, M.D. accept Medicare?
GENE JONES, M.D. appears in CMS Medicare data with 943 Part D claims and 190 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GENE JONES, M.D.'s credentials?
GENE JONES, M.D.'s NPI is 1134128119 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