2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1346555455 DO
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STEPHEN JONES, DO

Ophthalmic Plastic and Reconstructive Surgery Physician in PENSACOLA, Florida. 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
1K
Medicare Part D claims · 444 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.1907/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$61.1K
26 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: STEPHEN JONES, DO is a Ophthalmic Plastic and Reconstructive Surgery Physician ([object Object]) practicing in PENSACOLA, Florida with a Medicare Part D prescribing footprint of 1K claims across 444 beneficiaries — 34% brand-name prescribing . Their CMS MIPS Final Score of 74.1907/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $61.1K across 26 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: STEPHEN JONES, DO reported a CMS MIPS final score of 74.1907 out of 100, below the 83.1 national average, and filed 1,152 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

STEPHEN JONES, DO 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).

STEPHEN JONES, DO at a glance

Below national average

NPI registry status

Active

Issued 08/12/2010

NPI 1346555455

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

1,152 85% vs specialty avg

2023 prescription claims

Specialty avg: 624

MIPS final score

74.1907/100 8.909299999999988% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Florida

How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Florida providers

Florida providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Florida

1. Ophthalmic Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmic Plastic and Reconstructive Surgery Physician share within Florida

Medicare quality performance — MIPS

STEPHEN JONES, DO's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average

Below national average
MIPS Final Score
74.1907/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 74.1907/100 vs national avg 83.1

0%100%National avg83%74.2%
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 74.1907/100 vs national avg 83.1

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).

STEPHEN JONES, DO is a Ophthalmic Plastic and Reconstructive Surgery Physician provider practicing in PENSACOLA, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1346555455. 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.

STEPHEN JONES, DO appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding DO credentials at 6190 N DAVIS HWY, PENSACOLA, FL, 32504, with a listed phone of (850) 476-9236. NPI 1346555455 was issued on 08/12/2010. 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 1,152 prescription claims written by this provider, covering 444 Medicare beneficiaries and totaling roughly $578K in drug spend, split 34% brand-name and 66% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.1907/100 for the 2023 performance year (Quality 100, Cost 13.969), compared with the national average of 83.1.

Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 291 enrolled providers across 46 states and an average of 624 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

6190 N DAVIS HWY
PENSACOLA, FL 32504

Provider Details

NPI 1346555455
Specialty Ophthalmic Plastic and Reconstructive Surgery Physician
Credentials DO
Gender Male
NPI Issued 08/12/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

74.1907
Final Score
Avg: 83.1
100
Quality
13.969
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where STEPHEN JONES, DO 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.

CENTER FOR SIGHT OF NORTHWEST FLORIDA, PA
PENSACOLA, FL

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 STEPHEN JONES, DO. Source: openpaymentsdata.cms.gov.

Total received

$61.1K

Largest payer

Kedplasma LLC

Most common payment type

Consulting Fee

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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to STEPHEN JONES, DO. To verify STEPHEN JONES, DO's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

STEPHEN JONES, DO — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 1,152 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.

1,152
Total Claims
$578K
Total Drug Cost
444
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,584
Total Day Supply
39,908
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$564K
Generic Drug Cost
$14K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.23
Gender Split
62% female / 38% male
Age Distribution
<65: 41, 65-74: 231, 75-84: 134, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ofloxacin
252
Erythromycin
Erythromycin Base
226
Prednisolone Acetate
224
Latanoprost
99
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
97
Timolol Maleate
69
Brimonidine Tartrate
37
Lumigan
Bimatoprost
24
Restasis
Cyclosporine
18
Fluorometholone
16

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

Ophthalmic Plastic and Reconstructive Surgery Physician Overview

How STEPHEN JONES, DO fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.

291
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider

STEPHEN JONES, DO's 1,152 claims are above the specialty average of 624.

Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Florida

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

Compare Ophthalmic Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEPHEN JONES, DO's specialty?
STEPHEN JONES, DO specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in PENSACOLA, Florida. Credentials: DO.
How much does STEPHEN JONES, DO prescribe under Medicare Part D?
In 2023, STEPHEN JONES, DO wrote 1,152 Medicare Part D claims totaling $578K in drug costs for 444 beneficiaries.
What is STEPHEN JONES, DO's Medicare quality score?
STEPHEN JONES, DO has a CMS MIPS Final Score of 74.1907/100 (Quality: 100, Cost: 13.969). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEPHEN JONES, DO located?
STEPHEN JONES, DO is located at 6190 N DAVIS HWY, PENSACOLA, FL, 32504. Phone: (850) 476-9236.
What is STEPHEN JONES, DO's NPI number?
STEPHEN JONES, DO's National Provider Identifier (NPI) is 1346555455, issued on 08/12/2010.
Does STEPHEN JONES, DO prescribe more brand-name or generic drugs?
STEPHEN JONES, DO's prescribing is 34% brand-name and 66% generic drugs by claim count, with $564K in brand drug costs.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 291 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does STEPHEN JONES, DO prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN JONES, DO's most frequently prescribed drugs include Ofloxacin, Erythromycin, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN JONES, DO accept Medicare?
STEPHEN JONES, DO appears in CMS Medicare data with 1,152 Part D claims and 444 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN JONES, DO's credentials?
STEPHEN JONES, DO's NPI is 1346555455 with credentials DO. 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.
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