SHERRY SHIRLEY - JONES, MD
Family Medicine Physician in EDMONTON, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
SHERRY SHIRLEY - JONES, MD reported a CMS MIPS final score of 96.6822/100 — above the 83.1 national average — and filed 11,549 Medicare Part D claims in 2023.
- 96.6822/100
- MIPS score · +14 vs avg
- 12K
- Part D claims, 2023
- 87%
- 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.
SHERRY SHIRLEY - 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
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
SHERRY SHIRLEY - JONES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 SHERRY SHIRLEY - JONES, MD?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Family Medicine Physician compares to other specialties among Kentucky providers
Family Medicine Physician share within Kentucky
Family Medicine Physician is one of the more visible NUCC categories in Kentucky
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.
Medicare quality performance — MIPS
SHERRY SHIRLEY - JONES, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 96.6822/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) — 96.6822/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Family Medicine Physician US NPIs
96.6822/100 MIPS final score — 13.6 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Medicine Physician. Quality dim: 83.694.
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).
SHERRY SHIRLEY - JONES, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 612 STOCKTON STREET, EDMONTON, KY, 42129, with a listed phone of (270) 432-4320. NPI 1740235811 was issued on 05/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHIRLEY - 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 11,549 prescription claims written by this provider, covering 392 Medicare beneficiaries and totaling roughly $981K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.5%. 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 96.6822/100 for the 2023 performance year (Quality 83.694), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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 | 1740235811 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/24/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm SHERRY SHIRLEY - JONES, MD's current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where SHERRY SHIRLEY - 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).
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 SHERRY SHIRLEY - JONES, MD. Source: openpaymentsdata.cms.gov.
Total received
$63
Largest payer
Optinose US, 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
13% brand-name claims vs 87% generic, on 11,549 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
- 17,345
- Total Day Supply
- 498,231
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $791K
- Generic Drug Cost
- $182K
- Opioid Claims
- 404 (3.5% rate)
- Antibiotic Claims
- 276
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 98, 65-74: 174, 75-84: 92, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What SHERRY SHIRLEY - JONES, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
342 claims
- Levothyroxine Sodium
Levothyroxine Sodium
341 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
324 claims
- Losartan Potassium
Losartan Potassium
324 claims
- Lisinopril
Lisinopril
323 claims
- Gabapentin
Gabapentin
308 claims
- Montelukast Sodium
Montelukast Sodium
298 claims
- Amlodipine Besylate
Amlodipine Besylate
296 claims
| Drug | Claims |
|---|---|
| Omeprazole | 342 |
| Levothyroxine Sodium | 341 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 324 |
| Losartan Potassium | 324 |
| Lisinopril | 323 |
| Gabapentin | 308 |
| Montelukast Sodium | 298 |
| Amlodipine Besylate | 296 |
| Rosuvastatin Calcium | 283 |
| Furosemide | 271 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How SHERRY SHIRLEY - JONES, MD fits within the Family Medicine Physician landscape nationally.
SHERRY SHIRLEY - JONES, MD's 11,549 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as SHIRLEY - JONES.
Compare Family Medicine Physician nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Kentucky
Frequently Asked Questions
What is SHERRY SHIRLEY - JONES, MD's specialty? ▼
How much does SHERRY SHIRLEY - JONES, MD prescribe under Medicare Part D? ▼
What is SHERRY SHIRLEY - JONES, MD's Medicare quality score? ▼
Where is SHERRY SHIRLEY - JONES, MD located? ▼
What is SHERRY SHIRLEY - JONES, MD's NPI number? ▼
Does SHERRY SHIRLEY - JONES, MD prescribe more brand-name or generic drugs? ▼
Does SHERRY SHIRLEY - JONES, MD prescribe opioids? ▼
How many Family Medicine Physician providers are there in the US? ▼
What drugs does SHERRY SHIRLEY - JONES, MD prescribe most often? ▼
Does SHERRY SHIRLEY - JONES, MD accept Medicare? ▼
How can I verify SHERRY SHIRLEY - JONES, MD's credentials? ▼
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