Physician

Peter John Jones, M.D.

According to 2025 Medicare claims, Peter Jones, M.D. (NPI: 1164518908) practices urology in the Pocatello, ID market, with the plurality of this provider's patient population coming from Bannock, ID. This provider's primary affiliated billing organization is POCATELLO HEALTH SERVICES, LLC (NPI: 1215165485; TIN: 263757202) and primary practice location at 83201-5175. Jones is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), MountainStar Care Partners ACO (ACO ID: A5181), and Aledade 151 Northern Territories MSSP Enhanced (ACO ID: A5349), participating under the MSSP model.

Jones' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 480 traditional Medicare patients, billed 899 HCPCS/CPT codes, and received $71,459 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,371 prescription claims across 599 beneficiaries totaling $163,806 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 140 claims. Open Payments data shows 17 records totaling $644. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $137,436 to $71,459. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,144 and ending at $2,042.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	507	14,422	$137,436
2016	545	12,735	$158,996
2017	590	11,651	$173,847
2018	582	6,490	$145,880
2019	591	5,181	$140,948
2020	529	1,047	$110,954
2021	551	1,093	$108,682
2022	488	869	$97,667
2023	595	2,335	$108,622
2024	480	899	$71,459

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	342	1,415	$85,065
2016	415	1,863	$102,604
2017	395	1,757	$101,200
2018	383	1,784	$111,973
2019	402	1,824	$129,348
2020	377	1,738	$114,440
2021	404	1,385	$84,121
2022	429	1,369	$80,675
2023	563	2,025	$113,044
2024	599	2,371	$163,806

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	53	$12,894
2016	12	123	$25,767
2017	13	237	$47,282
2018	45	281	$61,012
2019	N/R	186	$55,879
2020	N/R	151	$39,895
2021	N/R	97	$30,519
2022	11	65	$14,894
2023	12	59	$22,936
2024	18	140	$37,406

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$84
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	75	$66
52000	Diagnostic exam of bladder and urethra using an endoscope	64	75	$55
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$53
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	302	378	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	108	4,729	$70,798
Gemtesa	Vibegron	46	2,062	$33,282
Tamsulosin Hcl	Tamsulosin Hcl	953	75,349	$12,597
Trospium Chloride	Trospium Chloride	92	4,710	$10,252
Solifenacin Succinate	Solifenacin Succinate	25	1,265	$6,751

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	18	96	$21,447
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	29	$15,677
A4332	Lubricant, individual sterile packet, each	N	N/R	15	$282

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	17	$644	Boston Scientific Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Peter John Jones, M.D.?

Tedicare shows public-source Medicare data for Peter John Jones, M.D. (NPI 1164518908), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Peter John Jones, M.D. have ACO affiliation data?

Peter John Jones, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), MountainStar Care Partners ACO (MSSP, ACO ID A5181), and Aledade 151 Northern Territories MSSP Enhanced (MSSP, ACO ID A5349).

What billing organization is linked to Peter John Jones, M.D.?

Peter John Jones, M.D. is linked to POCATELLO HEALTH SERVICES, LLC (billing NPI 1215165485) in the available physician profile data.

Does Peter John Jones, M.D. have Open Payments data?

Peter John Jones, M.D. has 17 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.