RICHARD JONES, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in CARY, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
RICHARD JONES, MD filed 735 Medicare Part D claims in 2023 as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in CARY, North Carolina, prescribing 98% generic.
- 735
- Part D claims, 2023
- 98%
- 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.
RICHARD JONES, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
735 Top 29% higher than 71% 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
RICHARD 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 RICHARD JONES, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in North Carolina
How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among North Carolina providers
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within North Carolina
Plastic Surgery within the Head & Neck (Otolaryngology) Physician is one of the more visible NUCC categories in North Carolina
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Plastic Surgery within the Head & Neck (Otolaryngology) Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician ABMS/AOA estimate
Est. board-certified rate (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Plastic Surgery within the Head & Neck (Otolaryngology) Physician US NPIs
Specialty board-certified rate — Plastic Surgery within the Head & Neck (Otolaryngology) Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
RICHARD JONES, MD appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding MD credentials at 10030 GREEN LEVEL CHURCH RD STE 808, CARY, NC, 27519, with a listed phone of (919) 859-4744. NPI 1639140817 was issued on 01/27/2006. 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 735 prescription claims written by this provider, covering 264 Medicare beneficiaries and totaling roughly $16K in drug spend, split 2% brand-name and 98% generic by claim count. 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.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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 | 1639140817 |
|---|---|
| Specialty | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/27/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm RICHARD JONES, MD's current license status, disciplinary history, and board certifications with the North Carolina Medical Board in North Carolina before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where RICHARD 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
2% brand-name claims vs 98% generic, on 735 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.
Prescribing Breakdown
- 30-Day Fills
- 1,078
- Total Day Supply
- 25,824
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $13K
- Antibiotic Claims
- 139
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 1.16
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 30, 65-74: 132, 75-84: 78, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What RICHARD JONES, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
150 claims
- Fluticasone Propio…
Fluticasone Propionate
127 claims
- Prednisone
Prednisone
81 claims
- Doxycycline Hyclate 38
Doxycycline Hyclate
38 claims
- Ipratropium Bromide 35
Ipratropium Bromide
35 claims
- Pantoprazole Sodium 33
Pantoprazole Sodium
33 claims
- Amoxicillin-Clavul… 30
Amoxicillin-Clavulanate Potass
30 claims
- Ofloxacin 23
Ofloxacin
23 claims
| Drug | Claims |
|---|---|
| Omeprazole | 150 |
| Fluticasone Propionate | 127 |
| Prednisone | 81 |
| Doxycycline Hyclate | 38 |
| Ipratropium Bromide | 35 |
| Pantoprazole Sodium | 33 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 30 |
| Ofloxacin | 23 |
| Neomycin-Polymyxin-Hc Neomycin/Polymyxin B/Hydrocort | 22 |
| Famotidine | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview
How RICHARD JONES, MD fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.
RICHARD JONES, MD's 735 claims are above the specialty average of 379.
Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as JONES.
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Frequently Asked Questions
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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