2026 NPPES data Hematology & Oncology Physician NPI 1548255755 MD
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MATTHEW JONES, MD

Hematology & Oncology Physician in WINCHESTER, Virginia. 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
724
Medicare Part D claims · 144 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$139.02
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MATTHEW JONES, MD is a Hematology & Oncology Physician ([object Object]) practicing in WINCHESTER, Virginia with a Medicare Part D prescribing footprint of 724 claims across 144 beneficiaries — 14% brand-name prescribing . Industry payments of $139.02 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MATTHEW JONES, MD filed 724 Medicare Part D claims in 2023 across WINCHESTER, Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MATTHEW 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).

MATTHEW JONES, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 09/14/2005

NPI 1548255755

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

724 15% vs specialty avg

2023 prescription claims

Specialty avg: 847

Specialty distribution in Virginia

How Hematology & Oncology Physician compares to other specialties among Virginia providers

Virginia providers

Hematology & Oncology Physician share within Virginia

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Hematology & Oncology Physician (ABMS / AOA reference)

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

Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hematology & Oncology 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).

MATTHEW JONES, MD is a Hematology & Oncology Physician provider practicing in WINCHESTER, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1548255755. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MATTHEW JONES, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 400 CAMPUS BLVD STE 100, WINCHESTER, VA, 22601, with a listed phone of (540) 662-1108. NPI 1548255755 was issued on 09/14/2005. 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 724 prescription claims written by this provider, covering 144 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 14.8%. 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.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601

Provider Details

NPI 1548255755
Specialty Hematology & Oncology Physician
Credentials MD
Gender Male
NPI Issued 09/14/2005

Hospital and facility affiliations

Facilities where MATTHEW 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.

SHENANDOAH ONCOLOGY PC
WINCHESTER, VA

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 MATTHEW JONES, MD. Source: openpaymentsdata.cms.gov.

Total received

$139

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

MATTHEW JONES, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 724 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.

724
Total Claims
$1.2M
Total Drug Cost
144
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
954
Total Day Supply
22,649
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$149K
Opioid Claims
107 (14.8% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
2.12
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
62
Tamoxifen Citrate
46
Anastrozole
38
Prochlorperazine Maleate
38
Abiraterone Acetate
35
Dexamethasone
33
Jakafi
Ruxolitinib Phosphate
29
Methadone Hcl
24
Olanzapine
22
Ondansetron Hcl
22

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

Hematology & Oncology Physician Overview

How MATTHEW JONES, MD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

MATTHEW JONES, MD's 724 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Virginia

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW JONES, MD's specialty?
MATTHEW JONES, MD specializes in Hematology & Oncology Physician and practices in WINCHESTER, Virginia. Credentials: MD.
How much does MATTHEW JONES, MD prescribe under Medicare Part D?
In 2023, MATTHEW JONES, MD wrote 724 Medicare Part D claims totaling $1.2M in drug costs for 144 beneficiaries.
Where is MATTHEW JONES, MD located?
MATTHEW JONES, MD is located at 400 CAMPUS BLVD STE 100, WINCHESTER, VA, 22601. Phone: (540) 662-1108.
What is MATTHEW JONES, MD's NPI number?
MATTHEW JONES, MD's National Provider Identifier (NPI) is 1548255755, issued on 09/14/2005.
Does MATTHEW JONES, MD prescribe more brand-name or generic drugs?
MATTHEW JONES, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $1.0M in brand drug costs.
Does MATTHEW JONES, MD prescribe opioids?
Yes, MATTHEW JONES, MD had 107 opioid claims in 2023 with an opioid prescribing rate of 14.8%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does MATTHEW JONES, MD prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW JONES, MD's most frequently prescribed drugs include Prednisone, Tamoxifen Citrate, Anastrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW JONES, MD accept Medicare?
MATTHEW JONES, MD appears in CMS Medicare data with 724 Part D claims and 144 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW JONES, MD's credentials?
MATTHEW JONES, MD's NPI is 1548255755 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

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