NPI registry status
Active
2026 NPPES data Adult Medicine Physician NPI 1457095150 MD
Verify on CMS → Helen Jones, MD
Adult Medicine Physician in Nashville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,481 in Adult 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
86
Medicare Part D claims · 22 beneficiaries · Adult Medicine Physician avg: 3K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Helen Jones, MD filed 86 Medicare Part D claims in 2023 as a Adult Medicine Physician in Nashville, Tennessee.
- 86
- Part D claims, 2023
- 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.
Helen Jones, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
86 0th percentile higher than 0% of 1,370,886 prescribers
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)
Helen Jones, MD 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 Helen Jones, MD?
Quality data not reportedPrimary specialty
Adult Medicine Physician
Medicare Part D claims
86 97% vs specialty avg
Specialty distribution in Tennessee
How Adult Medicine Physician compares to other specialties among Tennessee providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Medicine Physician. Verify directly:
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).
Helen Jones, MD appears in the CMS NPPES registry as a Adult Medicine Physician provider holding MD credentials at 125 10TH AVE N, Nashville, TN, 37203, with a listed phone of (615) 814-7800. NPI 1457095150 was issued on 04/27/2022.
Medicare Part D records for calendar year 2023 show 86 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $5K in drug spend.
Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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 | 1457095150 |
|---|---|
| Specialty | Adult Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/27/2022 |
Hospital and facility affiliations
Facilities where Helen 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.
Saint Thomas Medical Partners
Murfreesboro, TN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
86
Total Claims
$5K
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 127
- Total Day Supply
- 3,539
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 2.34
Adult Medicine Physician Overview
How Helen Jones, MD fits within the Adult Medicine Physician landscape nationally.
2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider
Helen Jones, MD's 86 claims are below the specialty average of 2,807.
Nearby Adult Medicine Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Jones.
Dr. Briana Arnett
APRN
Springfield, TN
Dr. Indu Bali
MD
Columbia, TN
Dr. Gay Battle
M.D.
Johnson City, TN
Dr. Freddie Bennett
MD
Knoxville, TN
Dr. Holly Blankenship
D.O.
Woodbury, TN
Compare Adult 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Tennessee
Frequently Asked Questions
What is Helen Jones, MD's specialty? ▼
Helen Jones, MD specializes in Adult Medicine Physician and practices in Nashville, Tennessee. Credentials: MD.
How much does Helen Jones, MD prescribe under Medicare Part D? ▼
In 2023, Helen Jones, MD wrote 86 Medicare Part D claims totaling $5K in drug costs for 22 beneficiaries.
Where is Helen Jones, MD located? ▼
Helen Jones, MD is located at 125 10TH AVE N, Nashville, TN, 37203. Phone: (615) 814-7800.
What is Helen Jones, MD's NPI number? ▼
Helen Jones, MD's National Provider Identifier (NPI) is 1457095150, issued on 04/27/2022.
How many Adult Medicine Physician providers are there in the US? ▼
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
Does Helen Jones, MD accept Medicare? ▼
Helen Jones, MD appears in CMS Medicare data with 86 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Helen Jones, MD's credentials? ▼
Helen Jones, MD's NPI is 1457095150 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.
- 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.