NPI registry status
Active
2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1679591366 MD
Verify on CMS → Heather Jones, MD
Geriatric Medicine (Family Medicine) Physician in Winchester, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,779 in Geriatric Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
5K
Medicare Part D claims · 406 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$27.28
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Heather Jones, MD reported a CMS MIPS final score of 91.4/100 - above the 83.1 national average - and filed 5,085 Medicare Part D claims in 2023.
- 91.4/100
- MIPS score · +8 vs avg
- 5K
- Part D claims, 2023
- 90%
- 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.
Heather Jones, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% of 477,587 scored providers
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
Where Heather Jones, MD sits
This provider among geriatric medicine (family medicine) physician peers
Across the 298 geriatric medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Heather Jones, MD writes more Part D claims than 64% of them and scores higher on MIPS quality than 69% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one geriatric medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Heather Jones, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Heather 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).
What does the federal data show about Heather Jones, MD?
High performer (top quartile)Primary specialty
Geriatric Medicine (Family Medicine) Physician
Medicare Part D claims
5,085 5% vs specialty avg
MIPS final score
91.4/100 8.3 pts vs avg
Specialty distribution in Massachusetts
How Geriatric Medicine (Family Medicine) Physician compares to other specialties among Massachusetts providers
Medicare quality performance, MIPS
Heather Jones, MD's 2023 MIPS final score plotted against the Geriatric Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 91.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Geriatric Medicine (Family Medicine) Physician) - 91.4/100 vs national avg 83.1
How MIPS and board certification work
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).
Heather Jones, MD appears in the CMS NPPES registry as a Geriatric Medicine (Family Medicine) Physician provider holding MD credentials at 11 SHORE RD, Winchester, MA, 01890, with a listed phone of (781) 729-1810. NPI 1679591366 was issued on 07/18/2006.
Medicare Part D records for calendar year 2023 show 5,085 prescription claims written by this provider, covering 406 Medicare beneficiaries and totaling roughly $467K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 3.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4/100 for the 2023 performance year (Quality 76.9), compared with the national average of 83.1.
Geriatric Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 1,779 enrolled providers across 52 states and an average of 4,854 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
Provider Details
| NPI | 1679591366 |
|---|---|
| Specialty | Geriatric Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 07/18/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.4157
Final Score
Avg: 83.1
76.877
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Heather 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.
Beth Israel Lahey Health Primary Care, Inc
South Hamilton, 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).
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 Heather Jones, MD. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
Exact Sciences Corporation
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 - 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 Heather Jones, MD. To verify Heather Jones, MD'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 · Typical
Heather Jones, MD - brand share 10.0%
Geriatric Medicine (Family Medicine) Physician average
10% brand-name claims vs 90% generic, on 5,085 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.
5,085
Total Claims
$467K
Total Drug Cost
406
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 11,713
- Total Day Supply
- 338,739
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $361K
- Generic Drug Cost
- $105K
- Opioid Claims
- 190 (3.7% rate)
- Antibiotic Claims
- 142
Patient Demographics
- Average Patient Age
- 76.3 years
- Avg HCC Risk Score
- 0.92
- Gender Split
- 80% female / 20% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Heather Jones, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
311 claims
- Lisinopril
Lisinopril
277 claims
- Levothyroxine Sodium
Levothyroxine Sodium
228 claims
- Amlodipine Besylate
Amlodipine Besylate
202 claims
- Losartan Potassium
Losartan Potassium
171 claims
- Hydrochlorothiazide
Hydrochlorothiazide
145 claims
- Simvastatin
Simvastatin
137 claims
- Gabapentin
Gabapentin
131 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 311 |
| Lisinopril | 277 |
| Levothyroxine Sodium | 228 |
| Amlodipine Besylate | 202 |
| Losartan Potassium | 171 |
| Hydrochlorothiazide | 145 |
| Simvastatin | 137 |
| Gabapentin | 131 |
| Omeprazole | 131 |
| Escitalopram Oxalate | 110 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Geriatric Medicine (Family Medicine) Physician in MA →
All providers in Massachusetts →
Compare specialties →
Geriatric Medicine (Family Medicine) Physician Overview
How Heather Jones, MD fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.
1,779
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,854
Avg Claims per Provider
Heather Jones, MD's 5,085 claims are above the specialty average of 4,854.
Nearby Geriatric Medicine (Family Medicine) Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Jones.
Dr. Jerome Avorn
MD
Boston, MA
Dr. Jessica Boatman Dray
M.D.
Worcester, MA
Dr. Maura Brennan
MD
Springfield, MA
Dr. Julia Breton
M.D.
Cambridge, MA
Dr. Richard Brunswick
M.D.
Northampton, MA
Compare Geriatric Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Massachusetts medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Geriatric Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Heather Jones, MD's specialty? ▼
Heather Jones, MD specializes in Geriatric Medicine (Family Medicine) Physician and practices in Winchester, Massachusetts. Credentials: MD.
How much does Heather Jones, MD prescribe under Medicare Part D? ▼
In 2023, Heather Jones, MD wrote 5,085 Medicare Part D claims totaling $467K in drug costs for 406 beneficiaries.
What is Heather Jones, MD's Medicare quality score? ▼
Heather Jones, MD has a CMS MIPS Final Score of 91.4/100 (Quality: 76.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Heather Jones, MD located? ▼
Heather Jones, MD is located at 11 SHORE RD, Winchester, MA, 01890. Phone: (781) 729-1810.
What is Heather Jones, MD's NPI number? ▼
Heather Jones, MD's National Provider Identifier (NPI) is 1679591366, issued on 07/18/2006.
Does Heather Jones, MD prescribe more brand-name or generic drugs? ▼
Heather Jones, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $361K in brand drug costs.
Does Heather Jones, MD prescribe opioids? ▼
Yes, Heather Jones, MD had 190 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 1,779 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,854 Medicare Part D claims per year.
What drugs does Heather Jones, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Heather Jones, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heather Jones, MD accept Medicare? ▼
Heather Jones, MD appears in CMS Medicare data with 5,085 Part D claims and 406 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather Jones, MD's credentials? ▼
Heather Jones, MD's NPI is 1679591366 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.