2026 NPPES data Psychiatry Physician NPI 1235153065 M.D.
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SANFORD JONES, M.D.

Psychiatry Physician in CINCINNATI, Ohio. 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
5K
Medicare Part D claims · 168 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

SANFORD JONES, M.D. filed 5,106 Medicare Part D claims in 2023 as a Psychiatry Physician in CINCINNATI, Ohio, prescribing 89% generic.

5K
Part D claims, 2023
89%
generic prescribing

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.

SANFORD JONES, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

5,106 Top 6% higher than 94% 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)

SANFORD JONES, M.D. 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 SANFORD JONES, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/26/2006

NPI 1235153065

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

5,106 392% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

Specialty distribution in Ohio

How Psychiatry Physician compares to other specialties among Ohio providers

Ohio providers

Psychiatry Physician share within Ohio

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Ohio

Specialty board-certification context

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

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

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

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

SANFORD JONES, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 2621 VICTORY PKWY, CINCINNATI, OH, 45206, with a listed phone of (513) 861-6688. NPI 1235153065 was issued on 07/26/2006. 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 5,106 prescription claims written by this provider, covering 168 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 11% brand-name and 89% 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.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

2621 VICTORY PKWY
CINCINNATI, OH 45206

Provider Details

NPI 1235153065
Specialty Psychiatry Physician
Credentials M.D.
Gender Male
NPI Issued 07/26/2006

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to SANFORD JONES, M.D.. To verify SANFORD JONES, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SANFORD JONES, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 5,106 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.

5,106
Total Claims
$1.1M
Total Drug Cost
168
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,387
Total Day Supply
137,245
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$938K
Generic Drug Cost
$199K

Patient Demographics

Average Patient Age
53.7 years
Avg HCC Risk Score
1.59
Gender Split
42% female / 58% male
Age Distribution
<65: 127, 65-74: 35, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What SANFORD JONES, M.D. 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
Quetiapine Fumarate
329
Divalproex Sodium Er
Divalproex Sodium
313
Olanzapine
273
Aripiprazole
238
Benztropine Mesylate
231
Sertraline Hcl
207
Clonazepam
176
Gabapentin
165
Risperidone
136
Haloperidol
135

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

Psychiatry Physician Overview

How SANFORD JONES, M.D. fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

SANFORD JONES, M.D.'s 5,106 claims are above the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Ohio

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

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

Frequently Asked Questions

What is SANFORD JONES, M.D.'s specialty?
SANFORD JONES, M.D. specializes in Psychiatry Physician and practices in CINCINNATI, Ohio. Credentials: M.D..
How much does SANFORD JONES, M.D. prescribe under Medicare Part D?
In 2023, SANFORD JONES, M.D. wrote 5,106 Medicare Part D claims totaling $1.1M in drug costs for 168 beneficiaries.
Where is SANFORD JONES, M.D. located?
SANFORD JONES, M.D. is located at 2621 VICTORY PKWY, CINCINNATI, OH, 45206. Phone: (513) 861-6688.
What is SANFORD JONES, M.D.'s NPI number?
SANFORD JONES, M.D.'s National Provider Identifier (NPI) is 1235153065, issued on 07/26/2006.
Does SANFORD JONES, M.D. prescribe more brand-name or generic drugs?
SANFORD JONES, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $938K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does SANFORD JONES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SANFORD JONES, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate, Divalproex Sodium Er, Olanzapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANFORD JONES, M.D. accept Medicare?
SANFORD JONES, M.D. appears in CMS Medicare data with 5,106 Part D claims and 168 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANFORD JONES, M.D.'s credentials?
SANFORD JONES, M.D.'s NPI is 1235153065 with credentials M.D.. 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