NPPES file of Aug 9, 2026

Theodore D. Jones, MD

Ophthalmology Physician · Lancaster, PA

Theodore D. Jones, MD is an ophthalmology physician with a practice address in Lancaster, Pennsylvania, and NPI 1508857483, issued on Oct 31, 2005. Check the license (Pennsylvania MD063410L, as entered in NPPES) on the Pennsylvania Department of State (PALS); 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
1508857483
Name
Theodore D. Jones
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
MD063410L PA
Self-reported in NPPES; status is on the state search
Practice location
485 Royer Dr, Lancaster, PA 17601
Phone
(717) 560-4020
Enumerated
Oct 31, 2005
Record last updated
Dec 8, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(717) 560-2919
Medicaid ID
0018626100001 PA
Medicare enrollment
Enrolled (PECOS I20100928000328); accepts Medicare assignment
Medical or professional school
Hahnemann University College Of Medicine, 1995
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 485 Royer Dr

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

  1. Steven Donnelly, MDOphthalmology Physician1790710572
  2. Barton Halpern, MDOphthalmology Physician1629050661

Verify Theodore D. Jones in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD063410L
    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 Pennsylvania license search

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25% more Medicare Part D claims than the average ophthalmology physician in 2024

1,897 Medicare Part D claims for 478 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 42% of claims.

  1. Theodore Jones1,897
  2. Specialty average1,518

Most prescribed

  1. Latanoprost601 claims
  2. Prednisolone Acetate217 claims
  3. Lumigan139 claims
  4. Ofloxacin130 claims
  5. Ketorolac Tromethamine118 claims
  6. Brimonidine Tartrate-Timolol95 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): 92.2 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. Qualitynot scored (reweighted)
  2. Costout of 100 · 30%84.4
  3. Promoting interoperabilitynot scored (reweighted)
  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: $699.46

29 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Theodore Jones$699.46
  2. Specialty average$4,535.02

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. Eye Doctors OF Lancaster LtdLancaster, PA

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

Theodore D. Jones among 1,088 ophthalmology physician records in Pennsylvania

Theodore D. Jones, MD is one of 1,088 ophthalmology physician records with a practice address in Pennsylvania. 81% 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, 78% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1995 · median 2000 among the 734 with a school on file
  • Record last updated2020 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Pennsylvania

There are 1,088 ophthalmology physician records in Pennsylvania.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Diane Corallo, MDLancaster, PA 176011619977790
  2. Sandford Frisch, MDLancaster, PA 176011407844616
  3. Kerry Givens, M.D.Lancaster, PA 176011528063948
  4. Stuart Goldberg, MDLancaster, PA 176011962402073
  5. Barton Halpern, MDLancaster, PA 176011629050661
  6. Thomas Krulewski, MD PHDLancaster, PA 176011861480170
  7. Pierre Palandjian, D.O.Lancaster, PA 176011174513147
  8. Daniel Pallen, M.DLancaster, PA 176011619953650

Common questions

What is Theodore D. Jones, MD's NPI number?

Theodore D. Jones, MD's National Provider Identifier (NPI) is 1508857483, issued on Oct 31, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Theodore D. Jones, MD located?

The NPPES record lists a practice address at 485 Royer Dr, Lancaster, PA, 17601. Phone: (717) 560-4020. Providers update this record themselves, so call before visiting.

How can I verify Theodore D. Jones, MD's license?

NPPES lists Pennsylvania license number MD063410L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Theodore D. Jones, MD prescribe under Medicare Part D?

In 2024, Theodore D. Jones, MD had 1,897 Medicare Part D claims for 478 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Theodore D. Jones, MD's MIPS final score?

The 2023 MIPS final score is 92.2 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.