NPPES file of Aug 9, 2026

Theresa Ellen Jones, M.D.

Ophthalmology Physician · Bridgeton, MO

Theresa Ellen Jones, M.D. is an ophthalmology physician with a practice address in Bridgeton, Missouri, and NPI 1053428771, issued on Aug 25, 2006. Check the license (Missouri 2004001643, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; 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
1053428771
Name
Theresa Ellen Jones
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
2004001643 MO
Self-reported in NPPES; status is on the state search
Practice location
12255 DE Paul Dr Ste 360, Bridgeton, MO 63044
Phone
(314) 739-9293
Enumerated
Aug 25, 2006
Record last updated
Jan 24, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(314) 739-3968
Medicaid ID
207538109 MO
Medicare enrollment
Enrolled (PECOS I20040810000790); accepts Medicare assignment
Medical or professional school
University Of Chicago, Pritzker School Of Medicine, 1999
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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Verify Theresa Ellen Jones in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license 2004001643
    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 Missouri license search

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78% more Medicare Part D claims than the average ophthalmology physician in 2024

2,708 Medicare Part D claims for 680 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 35% of claims.

  1. Theresa Jones2,708
  2. Specialty average1,518

Most prescribed

  1. Latanoprost917 claims
  2. Dorzolamide-Timolol383 claims
  3. Lumigan169 claims
  4. Prednisolone Acetate115 claims
  5. Erythromycin109 claims
  6. Brimonidine Tartrate-Timolol88 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): 84.1 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. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%47.0
  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: $809.59

28 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. Theresa Jones$809.59
  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. Comprehensive Eye Care And Surgery IncBridgeton, MO

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

Theresa Ellen Jones among 342 ophthalmology physician records in Missouri

Theresa Ellen Jones, M.D. is one of 342 ophthalmology physician records with a practice address in Missouri. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 24% of them.

  • NPI issued2006 · 24% of these records are older, 39% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated1999 · median 1999 among the 202 with a school on file
  • Record last updated2014 · 67% 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 Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Missouri

There are 342 ophthalmology physician records in Missouri.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Dundoo Raghunandan, M.D.Bridgeton, MO 630441508979998
  2. Sidney Hanish, M.D.Hazelwood, MO 630421568523199
  3. John Goltschman, MDFlorissant, MO 630311740366517
  4. Stephen Kraft, MDFlorissant, MO 630311942290044
  5. Julie Sturm, MDFlorissant, MO 630311558447342
  6. Humeyra Karacal, MDFestus, MO 630281144316944
  7. Fletcher Ott, M.D.Festus, MO 630281346249752
  8. Mark Spurrier, M.D.Festus, MO 630281437158805

Common questions

What is Theresa Ellen Jones, M.D.'s NPI number?

Theresa Ellen Jones, M.D.'s National Provider Identifier (NPI) is 1053428771, issued on Aug 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Theresa Ellen Jones, M.D. located?

The NPPES record lists a practice address at 12255 DE Paul Dr Ste 360, Bridgeton, MO, 63044. Phone: (314) 739-9293. Providers update this record themselves, so call before visiting.

How can I verify Theresa Ellen Jones, M.D.'s license?

NPPES lists Missouri license number 2004001643, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Theresa Ellen Jones, M.D. prescribe under Medicare Part D?

In 2024, Theresa Ellen Jones, M.D. had 2,708 Medicare Part D claims for 680 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Theresa Ellen Jones, M.D.'s MIPS final score?

The 2023 MIPS final score is 84.1 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.