2026 NPPES data Internal Medicine Physician NPI 1689640799
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TODD JONES

Internal Medicine Physician in GREENVILLE, Pennsylvania. 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
17K
Medicare Part D claims · 938 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.5339/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

TODD JONES reported a CMS MIPS final score of 78.5339/100 — below the 83.1 national average — and filed 16,856 Medicare Part D claims in 2023.

78.5339/100
MIPS score · -5 vs avg
17K
Part D claims, 2023
90%
generic prescribing
Likely
board-certified (heuristic)

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.

TODD JONES's MIPS score vs every scored U.S. clinician

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

79 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

Board certification likely (heuristic — not verified)

TODD JONES 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).

What does the federal data show about TODD JONES?

Near national average

NPI registry status

Active

Issued 02/28/2006

NPI 1689640799

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

16,856 521% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

78.5339/100 4.566099999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Internal Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Internal Medicine Physician share within Pennsylvania

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Pennsylvania

Medicare quality performance — MIPS

TODD JONES's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
78.5339/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 78.5339/100 vs national avg 83.1

0%100%National avg83%78.5%
MIPS final score (Internal Medicine Physician) — 78.5339/100 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).

TODD JONES is a Internal Medicine Physician provider practicing in GREENVILLE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1689640799. 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.

TODD JONES appears in the CMS NPPES registry as a Internal Medicine Physician provider at 90 SHENANGO ST, GREENVILLE, PA, 16125, with a listed phone of (724) 588-4240. NPI 1689640799 was issued on 02/28/2006. 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 16,856 prescription claims written by this provider, covering 938 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 4.8%. 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 78.5339/100 for the 2023 performance year (Quality 74.6181, Cost 53.8283), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

90 SHENANGO ST
GREENVILLE, PA 16125

Provider Details

NPI 1689640799
Specialty Internal Medicine Physician
Gender Male
NPI Issued 02/28/2006

CMS Quality Score (MIPS)

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

78.5339
Final Score
Avg: 83.1
74.6181
Quality
53.8283
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TODD JONES 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.

UPMC COMMUNITY MEDICINE INC
HERMITAGE, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to TODD JONES. To verify TODD JONES's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

TODD JONES — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 16,856 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.

16,856
Total Claims
$1.3M
Total Drug Cost
938
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
32,529
Total Day Supply
918,078
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$997K
Generic Drug Cost
$270K
Opioid Claims
806 (4.8% rate)
Antibiotic Claims
337

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.15
Gender Split
52% female / 48% male
Age Distribution
<65: 73, 65-74: 419, 75-84: 319, 85+: 127

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
824
Lisinopril
773
Levothyroxine Sodium
716
Omeprazole
681
Amlodipine Besylate
620
Metoprolol Tartrate
595
Potassium Chloride
415
Simvastatin
388
Lorazepam
364
Pantoprazole Sodium
356

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

Internal Medicine Physician Overview

How TODD JONES fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

TODD JONES's 16,856 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Pennsylvania

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TODD JONES's specialty?
TODD JONES specializes in Internal Medicine Physician and practices in GREENVILLE, Pennsylvania.
How much does TODD JONES prescribe under Medicare Part D?
In 2023, TODD JONES wrote 16,856 Medicare Part D claims totaling $1.3M in drug costs for 938 beneficiaries.
What is TODD JONES's Medicare quality score?
TODD JONES has a CMS MIPS Final Score of 78.5339/100 (Quality: 74.6181, Cost: 53.8283). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD JONES located?
TODD JONES is located at 90 SHENANGO ST, GREENVILLE, PA, 16125. Phone: (724) 588-4240.
What is TODD JONES's NPI number?
TODD JONES's National Provider Identifier (NPI) is 1689640799, issued on 02/28/2006.
Does TODD JONES prescribe more brand-name or generic drugs?
TODD JONES's prescribing is 10% brand-name and 90% generic drugs by claim count, with $997K in brand drug costs.
Does TODD JONES prescribe opioids?
Yes, TODD JONES had 806 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does TODD JONES prescribe most often?
Based on 2023 Medicare Part D data, TODD JONES's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD JONES accept Medicare?
TODD JONES appears in CMS Medicare data with 16,856 Part D claims and 938 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD JONES's credentials?
TODD JONES's NPI is 1689640799. 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