2026 NPPES data Obstetrics & Gynecology Physician NPI 1255645594 MD
Verify on CMS →

NATHANIEL JONES, MD

Obstetrics & Gynecology Physician in MOBILE, Alabama. 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
198
Medicare Part D claims · 60 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.5664/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$7.3K
84 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NATHANIEL JONES, MD reported a CMS MIPS final score of 96.5664/100 — above the 83.1 national average — and filed 198 Medicare Part D claims in 2023.

96.5664/100
MIPS score · +13 vs avg
198
Part D claims, 2023
85%
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.

NATHANIEL 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

97 Top 17% higher than 83% 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%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

NATHANIEL JONES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 NATHANIEL JONES, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/28/2010

NPI 1255645594

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

198 11% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

96.5664/100 13.466400000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Alabama

How Obstetrics & Gynecology Physician compares to other specialties among Alabama providers

Alabama providers

Obstetrics & Gynecology Physician share within Alabama

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Alabama

Medicare quality performance — MIPS

NATHANIEL JONES, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
96.5664/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 96.5664/100 vs national avg 83.1

0%100%National avg83%96.6%
MIPS final score (Obstetrics & Gynecology Physician) — 96.5664/100 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).

NATHANIEL JONES, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 1660 SPRING HILL AVE, MOBILE, AL, 36604, with a listed phone of (251) 665-8000. NPI 1255645594 was issued on 07/28/2010. 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 198 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $435K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 18.2%. 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 96.5664/100 for the 2023 performance year (Quality 89.7654), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

1660 SPRING HILL AVE
MOBILE, AL 36604

Provider Details

NPI 1255645594
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Male
NPI Issued 07/28/2010

CMS Quality Score (MIPS)

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

96.5664
Final Score
Avg: 83.1
89.7654
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATHANIEL 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.

UNIVERSITY OF SOUTH ALABAMA
MOBILE, AL
USA HEALTH - MCI BUSINESS SERVICES LLC
FAIRHOPE, AL
USA HEALTH PHYSICIAN BILLING SERVICES LLC
MOBILE, AL

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

Total received

$7.3K

Largest payer

INTUITIVE SURGICAL, 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

NATHANIEL JONES, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 198 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.

198
Total Claims
$435K
Total Drug Cost
60
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
249
Total Day Supply
5,193
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$431K
Generic Drug Cost
$4K
Opioid Claims
36 (18.2% rate)

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.92
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What NATHANIEL JONES, MD 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
28
Megestrol Acetate
23
Ondansetron Hcl
22
Letrozole
12
Promethazine Hcl
12

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

Obstetrics & Gynecology Physician Overview

How NATHANIEL JONES, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

NATHANIEL JONES, MD's 198 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Alabama

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATHANIEL JONES, MD's specialty?
NATHANIEL JONES, MD specializes in Obstetrics & Gynecology Physician and practices in MOBILE, Alabama. Credentials: MD.
How much does NATHANIEL JONES, MD prescribe under Medicare Part D?
In 2023, NATHANIEL JONES, MD wrote 198 Medicare Part D claims totaling $435K in drug costs for 60 beneficiaries.
What is NATHANIEL JONES, MD's Medicare quality score?
NATHANIEL JONES, MD has a CMS MIPS Final Score of 96.5664/100 (Quality: 89.7654). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHANIEL JONES, MD located?
NATHANIEL JONES, MD is located at 1660 SPRING HILL AVE, MOBILE, AL, 36604. Phone: (251) 665-8000.
What is NATHANIEL JONES, MD's NPI number?
NATHANIEL JONES, MD's National Provider Identifier (NPI) is 1255645594, issued on 07/28/2010.
Does NATHANIEL JONES, MD prescribe more brand-name or generic drugs?
NATHANIEL JONES, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $431K in brand drug costs.
Does NATHANIEL JONES, MD prescribe opioids?
Yes, NATHANIEL JONES, MD had 36 opioid claims in 2023 with an opioid prescribing rate of 18.2%.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does NATHANIEL JONES, MD prescribe most often?
Based on 2023 Medicare Part D data, NATHANIEL JONES, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Megestrol Acetate, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHANIEL JONES, MD accept Medicare?
NATHANIEL JONES, MD appears in CMS Medicare data with 198 Part D claims and 60 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHANIEL JONES, MD's credentials?
NATHANIEL JONES, MD's NPI is 1255645594 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.
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