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PROVIDER PROFILE · NPI 1265410914

David JonesDO

GastroenterologyLive Oak, TXI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 450058
Hospital
CCN 450388
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
935
Unique beneficiaries
—
Total services
967
Distinct HCPCS
13
Medicare payment
$112K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,103 Gastroenterology providers in TX — above median (cohort median 699).
PRESCRIBING · PART D · 2024
Total Rx claims
1,148
Beneficiaries
—
Total drug cost
$250K
Distinct drugs
19
Brand share
49.1%
Top prescribed drugs
Pantoprazole Sodium427 claims
Peg3350/Sod Sul/Nacl/Kcl/Asb/C73 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl69 claims
Linaclotide69 claims
0.9 % Sodium Chloride59 claims
REFERRAL NETWORK

Where David Jones's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 11 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Gcsa Ambulatory Surgery Center, Llc
Ambulatory Surgical Center · Live Oak, TX
6983
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.52116
Terrance Mcburney
Pathology · San Antonio, TX
4657
Jerry Gooch
Certified Registered Nurse Anesthetist (CRNA) · Oklahoma City, OK
4492
ROMAN, TIMOTHY3782
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
2893
John Stoll
Diagnostic Radiology · San Antonio, TX
1946
Nadine Liu
Internal Medicine · Live Oak, TX
1858
Esteban Arredondo
Anesthesiology · San Antonio, TX
1636
Jason Andres
Anesthesiology · Cypress, TX
1532
Kenneth Sandoval
Diagnostic Radiology · San Antonio, TX
1121
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Gcsa Ambulatory Surgery Center, Llc
Ambulatory Surgical Center · Live Oak, TX
206543
Terrance Mcburney
Pathology · San Antonio, TX
113334
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
50107
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
4895
VHS SAN ANTONIO PARTNERS LLC4080
Garrett Andersen
Diagnostic Radiology · San Antonio, TX
3975
William Hinchey
Pathology · San Antonio, TX
3489
Renato Sarreal
Anesthesiology · San Antonio, TX
3381
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
3281
Jerry Gooch
Certified Registered Nurse Anesthetist (CRNA) · Oklahoma City, OK
2932
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.2959
Monique Jones
Anesthesiology · Columbia, MD
2251
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
QUALITY · MIPS · 2024
Final MIPS score
81.0
Quality
66.5
Cost
71.8
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.25%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
115
By payment type
Food and Beverage$2K