2026 NPPES data Emergency Medicine Physician NPI 1518953900 MD
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WAYNE JONES, MD

Emergency Medicine Physician in ELKMONT, Alabama. 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
1K
Medicare Part D claims · 653 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
58.7319/100
▼ 24 pts below national avg 83.1 · [object Object]
Industry payments
$24.59
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

WAYNE JONES, MD reported a CMS MIPS final score of 58.7319/100 — below the 83.1 national average — and filed 1,290 Medicare Part D claims in 2023.

58.7319/100
MIPS score · -24 vs avg
1K
Part D claims, 2023
93%
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.

WAYNE JONES, MD's MIPS score vs every scored U.S. clinician

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

59 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

WAYNE JONES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 WAYNE JONES, MD?

Below national average

NPI registry status

Active

Issued 09/21/2005

NPI 1518953900

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

1,290 266% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

58.7319/100 24.36809999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Alabama

How Emergency Medicine Physician compares to other specialties among Alabama providers

Alabama providers

Emergency Medicine Physician share within Alabama

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

Medicare quality performance — MIPS

WAYNE JONES, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
58.7319/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 58.7319/100 vs national avg 83.1

0%100%National avg83%58.7%
MIPS final score (Emergency Medicine Physician) — 58.7319/100 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).

WAYNE JONES, MD is a Emergency Medicine Physician provider practicing in ELKMONT, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1518953900. 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.

WAYNE JONES, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 25442 AL HIGHWAY 127, ELKMONT, AL, 35620, with a listed phone of (256) 732-3712. NPI 1518953900 was issued on 09/21/2005. 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 1,290 prescription claims written by this provider, covering 653 Medicare beneficiaries and totaling roughly $35K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 13.0%. 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 58.7319/100 for the 2023 performance year (Quality 88.9058, Cost 70.3458), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

25442 AL HIGHWAY 127
ELKMONT, AL 35620

Provider Details

NPI 1518953900
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 09/21/2005

CMS Quality Score (MIPS)

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

58.7319
Final Score
Avg: 83.1
88.9058
Quality
70.3458
Cost

Reporting: Individual

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

Total received

$25

Largest payer

Organogenesis 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 · Generic-heavy

WAYNE JONES, MD — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 1,290 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.

1,290
Total Claims
$35K
Total Drug Cost
653
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,418
Total Day Supply
20,291
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$22K
Generic Drug Cost
$13K
Opioid Claims
168 (13.0% rate)
Antibiotic Claims
284

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.41
Gender Split
62% female / 38% male
Age Distribution
<65: 171, 65-74: 261, 75-84: 160, 85+: 61

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
140
Ondansetron Odt
Ondansetron
80
Levofloxacin
75
Methocarbamol
63
Doxycycline Hyclate
51
Pantoprazole Sodium
49
Prednisone
41
Cephalexin
39
Meloxicam
35
Amlodipine Besylate
30

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

Emergency Medicine Physician Overview

How WAYNE JONES, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

WAYNE JONES, MD's 1,290 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Alabama

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

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

Frequently Asked Questions

What is WAYNE JONES, MD's specialty?
WAYNE JONES, MD specializes in Emergency Medicine Physician and practices in ELKMONT, Alabama. Credentials: MD.
How much does WAYNE JONES, MD prescribe under Medicare Part D?
In 2023, WAYNE JONES, MD wrote 1,290 Medicare Part D claims totaling $35K in drug costs for 653 beneficiaries.
What is WAYNE JONES, MD's Medicare quality score?
WAYNE JONES, MD has a CMS MIPS Final Score of 58.7319/100 (Quality: 88.9058, Cost: 70.3458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WAYNE JONES, MD located?
WAYNE JONES, MD is located at 25442 AL HIGHWAY 127, ELKMONT, AL, 35620. Phone: (256) 732-3712.
What is WAYNE JONES, MD's NPI number?
WAYNE JONES, MD's National Provider Identifier (NPI) is 1518953900, issued on 09/21/2005.
Does WAYNE JONES, MD prescribe more brand-name or generic drugs?
WAYNE JONES, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $22K in brand drug costs.
Does WAYNE JONES, MD prescribe opioids?
Yes, WAYNE JONES, MD had 168 opioid claims in 2023 with an opioid prescribing rate of 13.0%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does WAYNE JONES, MD prescribe most often?
Based on 2023 Medicare Part D data, WAYNE JONES, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Odt, Levofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WAYNE JONES, MD accept Medicare?
WAYNE JONES, MD appears in CMS Medicare data with 1,290 Part D claims and 653 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WAYNE JONES, MD's credentials?
WAYNE JONES, MD's NPI is 1518953900 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