NPPES file of Aug 9, 2026

Richard Edwin Jones, MD

Rheumatology Physician · Northport, AL

Richard Edwin Jones, MD is a rheumatology physician with a practice address in Northport, Alabama, and NPI 1174507800, issued on Dec 6, 2005. Check the license (Alabama 00019352, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174507800
Name
Richard Edwin Jones
Credential
MD
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
00019352 AL
Self-reported in NPPES; status is on the state search
Practice location
4280 Watermelon RD Ste 112, Northport, AL 35473
Phone
(205) 750-0030
Enumerated
Dec 6, 2005
Record last updated
Jan 20, 2023
Fax
(205) 750-0855
Medicaid ID
529912100 AL
Medicare enrollment
Enrolled (PECOS I20041117000975); accepts Medicare assignment
Medical or professional school
University Of Alabama School Of Medicine, 1994
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4280 Watermelon RD Ste 112

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rachael AveretteNurse Practitioner1871289926
  2. Jillian Barnette, CRNPFamily Nurse Practitioner1487108239
  3. Melissa Harrison, CRNPNurse Practitioner1811971468
  4. Brittany Hill, DORheumatology Physician1386141745
  5. Mary Elizabeth Loomis, NP-CFamily Nurse Practitioner1659668408
  6. Donna Maneice, M.D.Rheumatology Physician1932288339

Verify Richard Edwin Jones in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersAlabama Board of Medical Examiners
    Search for license 00019352
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Alabama license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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3.2 times the Medicare Part D claims of the average rheumatology physician in 2024

6,239 Medicare Part D claims for 947 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims. 745 claims were for opioids.

  1. Richard Jones6,239
  2. Specialty average1,978

Most prescribed

  1. Hydroxychloroquine Sulfate927 claims
  2. Prednisone680 claims
  3. Methotrexate622 claims
  4. Tramadol Hcl359 claims
  5. Gabapentin337 claims
  6. Hydrocodone-Acetaminophen303 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 practice group's MIPS final score for 2023 (Medicare payment program): 92.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%74.4
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $4,223.44

179 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Richard Jones$4,223.44
  2. Specialty average$8,538.33

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

  1. WV Medical Services PCNorthport, AL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Richard Edwin Jones among 97 rheumatology physician records in Alabama

Richard Edwin Jones, MD is one of 97 rheumatology physician records with a practice address in Alabama. 84% 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, 90% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated1994 · median 2004 among the 71 with a school on file
  • Record last updated2023 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in Alabama

There are 97 rheumatology physician records in Alabama.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Brittany Hill, DONorthport, AL 354731386141745
  2. Donna Maneice, M.D.Northport, AL 354731932288339
  3. Ray McLaughlin, M.D.Tuscaloosa, AL 354061720215049
  4. Karin Straaton, MDTuscaloosa, AL 354061962517540
  5. Marcus Wilson, MDTuscaloosa, AL 354061992869903
  6. D Mountz, M.D., PH.D.Birmingham, AL 352941750472957
  7. Edward Huddleston, MDBirmingham, AL 352491205465523
  8. Jose Rubio Mosquera, M.DBirmingham, AL 352491174907984

Common questions

What is Richard Edwin Jones, MD's NPI number?

Richard Edwin Jones, MD's National Provider Identifier (NPI) is 1174507800, issued on Dec 6, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Richard Edwin Jones, MD located?

The NPPES record lists a practice address at 4280 Watermelon RD Ste 112, Northport, AL, 35473. Phone: (205) 750-0030. Providers update this record themselves, so call before visiting.

How can I verify Richard Edwin Jones, MD's license?

NPPES lists Alabama license number 00019352, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Richard Edwin Jones, MD prescribe under Medicare Part D?

In 2024, Richard Edwin Jones, MD had 6,239 Medicare Part D claims for 947 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Richard Edwin Jones, MD's MIPS final score?

The 2023 MIPS final score is 92.3 of 100, reported for the practice group. 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.