2026 NPPES data Urology Physician NPI 1275592024 M.D.
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JOHN JONES, M.D.

Urology Physician in CASPER, Wyoming. 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
3K
Medicare Part D claims · 600 beneficiaries · Urology Physician avg: 1K
MIPS score
58.5048/100
▼ 25 pts below national avg 83.1 · [object Object]
Industry payments
$310.63
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN JONES, M.D. reported a CMS MIPS final score of 58.5048/100 — below the 83.1 national average — and filed 3,105 Medicare Part D claims in 2023.

58.5048/100
MIPS score · -25 vs avg
3K
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.

JOHN 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

59 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

JOHN 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 JOHN JONES, M.D.?

Below national average

NPI registry status

Active

Issued 03/21/2006

NPI 1275592024

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

3,105 143% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

58.5048/100 24.59519999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Wyoming

How Urology Physician compares to other specialties among Wyoming providers

Wyoming providers

Urology Physician share within Wyoming

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
58.5048/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 58.5048/100 vs national avg 83.1

0%100%National avg83%58.5%
MIPS final score (Urology Physician) — 58.5048/100 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).

JOHN JONES, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 1416 E A ST, CASPER, WY, 82601, with a listed phone of (307) 577-8600. NPI 1275592024 was issued on 03/21/2006. 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 3,105 prescription claims written by this provider, covering 600 Medicare beneficiaries and totaling roughly $436K in drug spend, with an opioid prescribing rate of 2.6%. 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 58.5048/100 for the 2023 performance year (Quality 47.7793, Cost 57.4204), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

1416 E A ST
CASPER, WY 82601

Provider Details

NPI 1275592024
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 03/21/2006

CMS Quality Score (MIPS)

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

58.5048
Final Score
Avg: 83.1
47.7793
Quality
57.4204
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN 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.

CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC
CASPER, WY

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

Total received

$311

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.

Medicare Part D Prescribing Data

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

3,105
Total Claims
$436K
Total Drug Cost
600
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,428
Total Day Supply
183,359
Generic Drug Cost
$98K
Opioid Claims
80 (2.6% rate)
Antibiotic Claims
428

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.29
Gender Split
28% female / 72% male
Age Distribution
<65: 31, 65-74: 253, 75-84: 222, 85+: 94

Top Prescribed Drugs (Medicare Part D)

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

What JOHN 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
Tamsulosin Hcl
723
Finasteride
469
Oxybutynin Chloride Er
Oxybutynin Chloride
238
Myrbetriq
Mirabegron
178
Imipramine Hcl
108
Bicalutamide
90
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
83
Terazosin Hcl
81
Doxazosin Mesylate
78
Oxybutynin Chloride
69

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

Urology Physician Overview

How JOHN JONES, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JOHN JONES, M.D.'s 3,105 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Wyoming

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

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

Frequently Asked Questions

What is JOHN JONES, M.D.'s specialty?
JOHN JONES, M.D. specializes in Urology Physician and practices in CASPER, Wyoming. Credentials: M.D..
How much does JOHN JONES, M.D. prescribe under Medicare Part D?
In 2023, JOHN JONES, M.D. wrote 3,105 Medicare Part D claims totaling $436K in drug costs for 600 beneficiaries.
What is JOHN JONES, M.D.'s Medicare quality score?
JOHN JONES, M.D. has a CMS MIPS Final Score of 58.5048/100 (Quality: 47.7793, Cost: 57.4204). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN JONES, M.D. located?
JOHN JONES, M.D. is located at 1416 E A ST, CASPER, WY, 82601. Phone: (307) 577-8600.
What is JOHN JONES, M.D.'s NPI number?
JOHN JONES, M.D.'s National Provider Identifier (NPI) is 1275592024, issued on 03/21/2006.
Does JOHN JONES, M.D. prescribe opioids?
Yes, JOHN JONES, M.D. had 80 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JOHN JONES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN JONES, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN JONES, M.D. accept Medicare?
JOHN JONES, M.D. appears in CMS Medicare data with 3,105 Part D claims and 600 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN JONES, M.D.'s credentials?
JOHN JONES, M.D.'s NPI is 1275592024 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