2026 NPPES data Physician Assistant NPI 1154872638 PA-C
Verify on CMS →

Theresa Jones, PA-C

Physician Assistant in Gresham, Oregon. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 149,975 in Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
402
Medicare Part D claims · 269 beneficiaries · Physician Assistant avg: 790
MIPS score
86/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$99.87
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Theresa Jones, PA-C reported a CMS MIPS final score of 86/100 — above the 83.1 national average — and filed 402 Medicare Part D claims in 2023.

86/100
MIPS score · +3 vs avg
402
Part D claims, 2023
$99.87
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.

Theresa Jones, PA-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

86 Top 48% higher than 52% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Where Theresa Jones, PA-C sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Theresa Jones, PA-C writes more Part D claims than 63% of them and scores higher on MIPS quality than 49% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 40Theresa Jones, PA-C — Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Theresa Jones, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Theresa Jones, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 10/19/2016

NPI 1154872638

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

402 49% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

86/100 2.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Oregon

How Physician Assistant compares to other specialties among Oregon providers

Oregon providers

Largest specialties in Oregon (% of in-state providers)

Mental Health Counselor — 12.1%Mental Health Counselor12.1%Massage Therapist — 4.8%Massage Therapist4.8%Counselor — 3.9%Counselor3.9%Addiction (Substance Use Disorder) Counselor — 3.5%Addiction (Substance Use Disorder) Counselor3.5%Case Manager/Care Coordinator — 3.4%Case Manager/Care Coordinator3.4%Clinical Social Worker — 3.3%Clinical Social Worker3.3%Physician Assistant — 1.6%Physician Assistant1.6%
Largest specialties in Oregon (% of in-state providers)

Medicare quality performance — MIPS

Theresa Jones, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
86/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 86/100 vs national avg 83.1

0%100%National avg83%86%
MIPS final score (Physician Assistant) — 86/100 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).

Theresa Jones, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 2850 SE POWELL VALLEY RD, Gresham, OR, 97080, with a listed phone of (503) 666-5050. NPI 1154872638 was issued on 10/19/2016. 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 402 prescription claims written by this provider, covering 269 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 5.0%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86/100 for the 2023 performance year (Quality 77.8, Cost 74.2), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

2850 SE POWELL VALLEY RD
Gresham, OR 97080

Provider Details

NPI 1154872638
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 10/19/2016

CMS Quality Score (MIPS)

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

86.0353
Final Score
Avg: 83.1
77.8032
Quality
74.1514
Cost
99
Promoting Interoperability

Reporting: Group practice

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 Theresa Jones, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$100

Largest payer

Grifols USA, LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

402
Total Claims
$8K
Total Drug Cost
269
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
434
Total Day Supply
5,337
Generic Drug Cost
$5K
Opioid Claims
20 (5.0% rate)
Antibiotic Claims
139

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.21
Gender Split
68% female / 32% male
Age Distribution
<65: 58, 65-74: 120, 75-84: 73, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What Theresa Jones, PA-C 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
Cephalexin
43
Prednisone
31
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
26
Doxycycline Hyclate
22
Albuterol Sulfate Hfa
Albuterol Sulfate
17
Celecoxib
17
Meloxicam
14
Oxycodone Hcl
12
Clindamycin Hcl
11
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
11

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

Physician Assistant Overview

How Theresa Jones, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Theresa Jones, PA-C's 402 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Oregon

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Oregon medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Theresa Jones, PA-C's specialty?
Theresa Jones, PA-C specializes in Physician Assistant and practices in Gresham, Oregon. Credentials: PA-C.
How much does Theresa Jones, PA-C prescribe under Medicare Part D?
In 2023, Theresa Jones, PA-C wrote 402 Medicare Part D claims totaling $8K in drug costs for 269 beneficiaries.
What is Theresa Jones, PA-C's Medicare quality score?
Theresa Jones, PA-C has a CMS MIPS Final Score of 86/100 (Quality: 77.8, Cost: 74.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theresa Jones, PA-C located?
Theresa Jones, PA-C is located at 2850 SE POWELL VALLEY RD, Gresham, OR, 97080. Phone: (503) 666-5050.
What is Theresa Jones, PA-C's NPI number?
Theresa Jones, PA-C's National Provider Identifier (NPI) is 1154872638, issued on 10/19/2016.
Does Theresa Jones, PA-C prescribe opioids?
Yes, Theresa Jones, PA-C had 20 opioid claims in 2023 with an opioid prescribing rate of 5.0%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Theresa Jones, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Theresa Jones, PA-C's most frequently prescribed drugs include Cephalexin, Prednisone, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theresa Jones, PA-C accept Medicare?
Theresa Jones, PA-C appears in CMS Medicare data with 402 Part D claims and 269 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theresa Jones, PA-C's credentials?
Theresa Jones, PA-C's NPI is 1154872638 with credentials PA-C. 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

Compiled from official public sources by the PlainDoctor editorial team.