Michael E. Jones, M.D.
Gastroenterology Physician · Crestview Hills, KY
Michael E. Jones, M.D. is a gastroenterology physician with a practice address in Crestview Hills, Kentucky, and NPI 1083611636, issued on Jun 28, 2005. Check the license (Kentucky 34243, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Michael E. Jones
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 34243 KY
Self-reported in NPPES; status is on the state search - Practice location
- 425 Centre View Blvd, Crestview Hills, KY 41017
- Phone
- (859) 341-3575
- Enumerated
- Jun 28, 2005
- Record last updated
- Aug 25, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (859) 341-5701
- Medicaid IDs
- 200306320 IN
2443369 OH
64062490 KY - Medicare enrollment
- Enrolled (PECOS I20100205000085); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 226 in Kentucky → Look up another NPI →
Also registered at 425 Centre View Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joshua Caldwell, DNP, APRNNurse Practitioner1124793021
- Carolyn Day, APRNNurse Practitioner1730571365
- Daniel Fagel, M.D.Gastroenterology Physician1518964147
- Kelsey Franxman, PA-CPhysician Assistant1134985534
- Jessica Gardner, PA-CPhysician Assistant1497042113
- Briana Goodridge, APRNNurse Practitioner1942796206
Verify Michael E. Jones in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 34243Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.0 times the Medicare Part D claims of the average gastroenterology physician in 2024
2,447 Medicare Part D claims for 715 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. 14 claims were for opioids.
Most prescribed
- Omeprazole802 claims
- Pantoprazole Sodium358 claims
- Sod Sulf-Potass Sulf-Mag Sulf310 claims
- Misoprostol136 claims
- Esomeprazole Magnesium91 claims
- Sucralfate72 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 90.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $310.01
9 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Tri-State Gastroenterology Associates, PscCrestview Hills, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael E. Jones among 226 gastroenterology physician records in Kentucky
Michael E. Jones, M.D. is one of 226 gastroenterology physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 82% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated1997 · median 2000 among the 181 with a school on file
- Record last updated2017 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
15 gastroenterology physician records list a practice address in Crestview Hills
They are 15 of the 445 NPPES records with a practice address in Crestview Hills, and 226 gastroenterology physician records in Kentucky.
All 226 in Kentucky → Every provider in Crestview Hills → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Suzana Brozovic, M.D.Crestview Hills, KY 410171225216989
- Suma Chennubhotla, M.D.Crestview Hills, KY 410171235420621
- Daniel Fagel, M.D.Crestview Hills, KY 410171518964147
- Paul Guenthner, M.D.Crestview Hills, KY 410171427095330
- Chadwick Hatfield, M.D.Crestview Hills, KY 410171780714931
- Allan Lam, DOCrestview Hills, KY 410171225271026
- Scott Leverage, MDCrestview Hills, KY 410171700064995
- James Linne, M.D.Crestview Hills, KY 410171740229624
Common questions
What is Michael E. Jones, M.D.'s NPI number?
Michael E. Jones, M.D.'s National Provider Identifier (NPI) is 1083611636, issued on Jun 28, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Michael E. Jones, M.D. located?
The NPPES record lists a practice address at 425 Centre View Blvd, Crestview Hills, KY, 41017. Phone: (859) 341-3575. Providers update this record themselves, so call before visiting.
How can I verify Michael E. Jones, M.D.'s license?
NPPES lists Kentucky license number 34243, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Michael E. Jones, M.D. prescribe under Medicare Part D?
In 2024, Michael E. Jones, M.D. had 2,447 Medicare Part D claims for 715 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Michael E. Jones, M.D.'s MIPS final score?
The 2023 MIPS final score is 90.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.