2026 NPPES data Pediatrics Physician NPI 1255331021 MD
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ROBERT JONES, MD

Pediatrics Physician in RANSON, West 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
8K
Medicare Part D claims · 376 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$813.1
44 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ROBERT JONES, MD filed 8,404 Medicare Part D claims in 2023 as a Pediatrics Physician in RANSON, West Virginia, prescribing 84% generic.

8K
Part D claims, 2023
84%
generic prescribing
$813.1
industry payments (Sunshine Act)

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.

ROBERT JONES, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

8,404 Top 3% higher than 97% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

Board-eligible specialty (heuristic — not verified)

ROBERT JONES, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ROBERT JONES, MD?

Quality data not reported

NPI registry status

Active

Issued 07/22/2005

NPI 1255331021

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

8,404 1003% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in West Virginia

How Pediatrics Physician compares to other specialties among West Virginia providers

West Virginia providers

Pediatrics Physician share within West Virginia

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within West Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics 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).

ROBERT JONES, MD is a Pediatrics Physician provider practicing in RANSON, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255331021. 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.

ROBERT JONES, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 207 E 5TH AVE, RANSON, WV, 25438, with a listed phone of (304) 728-5051. NPI 1255331021 was issued on 07/22/2005. 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 8,404 prescription claims written by this provider, covering 376 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 2.0%. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

207 E 5TH AVE
RANSON, WV 25438

Provider Details

NPI 1255331021
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 07/22/2005

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

Total received

$813

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

ROBERT JONES, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 8,404 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.

8,404
Total Claims
$1.4M
Total Drug Cost
376
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,071
Total Day Supply
469,739
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$133K
Opioid Claims
169 (2.0% rate)
Antibiotic Claims
191

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.09
Gender Split
48% female / 52% male
Age Distribution
<65: 36, 65-74: 162, 75-84: 130, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
388
Atorvastatin Calcium
361
Levothyroxine Sodium
280
Rosuvastatin Calcium
264
Valsartan
264
Metformin Hcl
212
Pantoprazole Sodium
204
Escitalopram Oxalate
196
Metoprolol Succinate
191
Trulicity
Dulaglutide
169

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

Pediatrics Physician Overview

How ROBERT JONES, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

ROBERT JONES, MD's 8,404 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in West Virginia

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT JONES, MD's specialty?
ROBERT JONES, MD specializes in Pediatrics Physician and practices in RANSON, West Virginia. Credentials: MD.
How much does ROBERT JONES, MD prescribe under Medicare Part D?
In 2023, ROBERT JONES, MD wrote 8,404 Medicare Part D claims totaling $1.4M in drug costs for 376 beneficiaries.
Where is ROBERT JONES, MD located?
ROBERT JONES, MD is located at 207 E 5TH AVE, RANSON, WV, 25438. Phone: (304) 728-5051.
What is ROBERT JONES, MD's NPI number?
ROBERT JONES, MD's National Provider Identifier (NPI) is 1255331021, issued on 07/22/2005.
Does ROBERT JONES, MD prescribe more brand-name or generic drugs?
ROBERT JONES, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $1.2M in brand drug costs.
Does ROBERT JONES, MD prescribe opioids?
Yes, ROBERT JONES, MD had 169 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does ROBERT JONES, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERT JONES, MD's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT JONES, MD accept Medicare?
ROBERT JONES, MD appears in CMS Medicare data with 8,404 Part D claims and 376 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT JONES, MD's credentials?
ROBERT JONES, MD's NPI is 1255331021 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