PROVIDER PROFILE · NPI 1760478838

Carl JonesDO

PRACTICENIELSEN UROLOGYSee all providers at this practice →

GastroenterologyNacogdoches, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,403

Unique beneficiaries

—

Total services

1,564

Distinct HCPCS

Medicare payment

$153K

Peer benchmark

Total Medicare services vs. 1,103 Gastroenterology providers in TX — top quintile (cohort median 699).

PRESCRIBING · PART D · 2024

Total Rx claims

2,854

Beneficiaries

—

Total drug cost

$1.2M

Distinct drugs

Brand share

25.1%

Top prescribed drugs

Omeprazole468 claims

Metoclopramide Hcl275 claims

Dicyclomine Hcl239 claims

Sodium, Potassium,mag Sulfates192 claims

Baclofen172 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

100.0

Cost

87.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

REFERRAL NETWORK

Where Carl 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). 38 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Padma Anne Diagnostic Radiology · Fort Worth, TX	126	397
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	126	476
Mary Calme Diagnostic Radiology · Nacogdoches, TX	110	390
Vijaya Pokala Cardiology · Nacogdoches, TX	75	400
Ahammed Hashim Pulmonary Disease · Nacogdoches, TX	74	379
Kavita Vyas Internal Medicine · Nacogdoches, TX	64	571
Gregory Wallis Certified Registered Nurse Anesthetist (CRNA) · Nacogdoches, TX	58	136
MAU, RICHARD	52	138
James Stockman Certified Registered Nurse Anesthetist (CRNA) · Nacogdoches, TX	42	114
Wallace Womack Certified Registered Nurse Anesthetist (CRNA) · Nacogdoches, TX	37	99
Ronald Freeland Certified Registered Nurse Anesthetist (CRNA) · Nacogdoches, TX	35	95
MURPHY, ALICIA	33	97

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history