What is Carl Jones's specialty?

Carl Jones (NPI 1760478838) is a Medicare-billing provider whose primary specialty is Gastroenterology in Nacogdoches, TX.

Where does Carl Jones practice?

Carl Jones practices in Nacogdoches, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1760478838.

How much does Medicare pay Carl Jones?

Carl Jones (NPI 1760478838) received approximately $164K in total Medicare Part B payments, serving 731 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events