2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1740208966 MD
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THOMAS JONES, MD

Endocrinology, Diabetes & Metabolism Physician in MACON, Georgia. 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
5K
Medicare Part D claims · 785 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
51%
generic claims · 49% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
32.9732/100
▼ 50 pts below national avg 83.1 · [object Object]
Industry payments
$1.7K
88 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THOMAS JONES, MD is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in MACON, Georgia with a Medicare Part D prescribing footprint of 5K claims across 785 beneficiaries — 49% brand-name prescribing . Their CMS MIPS Final Score of 32.9732/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.7K across 88 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THOMAS JONES, MD reported a CMS MIPS final score of 32.9732 out of 100, below the 83.1 national average, and filed 4,997 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)

THOMAS 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).

THOMAS JONES, MD at a glance

Below national average

NPI registry status

Active

Issued 07/17/2006

NPI 1740208966

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

4,997 89% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

32.9732/100 50.126799999999996% pts

Below average band

vs 83.1 national avg

Specialty distribution in Georgia

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Georgia providers

Georgia providers

Endocrinology, Diabetes & Metabolism Physician share within Georgia

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within Georgia

Medicare quality performance — MIPS

THOMAS JONES, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

Below national average
MIPS Final Score
32.9732/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 32.9732/100 vs national avg 83.1

0%100%National avg83%33%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 32.9732/100 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).

THOMAS JONES, MD is a Endocrinology, Diabetes & Metabolism Physician provider practicing in MACON, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1740208966. 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.

THOMAS JONES, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 265 SHERATON BLVD, MACON, GA, 31210, with a listed phone of (478) 746-8626. NPI 1740208966 was issued on 07/17/2006. 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 4,997 prescription claims written by this provider, covering 785 Medicare beneficiaries and totaling roughly $2.7 million in drug spend, split 49% brand-name and 51% 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 32.9732/100 for the 2023 performance year (Quality 15, Cost 89.9108), compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

265 SHERATON BLVD
MACON, GA 31210

Provider Details

NPI 1740208966
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials MD
Gender Male
NPI Issued 07/17/2006

CMS Quality Score (MIPS)

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

32.9732
Final Score
Avg: 83.1
15
Quality
89.9108
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where THOMAS 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.

THOMAS C JONES, M.D., P.C.
MACON, GA

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 THOMAS JONES, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

Novo Nordisk 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 · Above average

THOMAS JONES, MD — brand share 49.0%
Specialty average (est.)

49% brand-name claims vs 51% generic, on 4,997 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.

4,997
Total Claims
$2.7M
Total Drug Cost
785
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,068
Total Day Supply
328,746
Brand vs Generic
49% brand / 51% generic
Brand Drug Cost
$2.5M
Generic Drug Cost
$78K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.77
Gender Split
59% female / 41% male
Age Distribution
<65: 134, 65-74: 354, 75-84: 254, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ozempic
Semaglutide
419
Levothyroxine Sodium
320
Synthroid
Levothyroxine Sodium
292
Metformin Hcl
217
Glimepiride
205
Jardiance
Empagliflozin
143
Metformin Hcl Er
Metformin Hcl
135
Tresiba Flextouch U-200
Insulin Degludec
129
Pioglitazone Hcl
116
Novolog Flexpen
Insulin Aspart
106

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

Endocrinology, Diabetes & Metabolism Physician Overview

How THOMAS JONES, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

THOMAS JONES, MD's 4,997 claims are above the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Georgia

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

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS JONES, MD's specialty?
THOMAS JONES, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in MACON, Georgia. Credentials: MD.
How much does THOMAS JONES, MD prescribe under Medicare Part D?
In 2023, THOMAS JONES, MD wrote 4,997 Medicare Part D claims totaling $2.7M in drug costs for 785 beneficiaries.
What is THOMAS JONES, MD's Medicare quality score?
THOMAS JONES, MD has a CMS MIPS Final Score of 32.9732/100 (Quality: 15, Cost: 89.9108). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS JONES, MD located?
THOMAS JONES, MD is located at 265 SHERATON BLVD, MACON, GA, 31210. Phone: (478) 746-8626.
What is THOMAS JONES, MD's NPI number?
THOMAS JONES, MD's National Provider Identifier (NPI) is 1740208966, issued on 07/17/2006.
Does THOMAS JONES, MD prescribe more brand-name or generic drugs?
THOMAS JONES, MD's prescribing is 49% brand-name and 51% generic drugs by claim count, with $2.5M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does THOMAS JONES, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS JONES, MD's most frequently prescribed drugs include Ozempic, Levothyroxine Sodium, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS JONES, MD accept Medicare?
THOMAS JONES, MD appears in CMS Medicare data with 4,997 Part D claims and 785 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS JONES, MD's credentials?
THOMAS JONES, MD's NPI is 1740208966 with credentials MD. 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