Physician

Thomas W Jones, MD

According to 2025 Medicare claims, Thomas Jones, MD (NPI: 1205195641) practices ophthalmology in the Everett, WA market, with the plurality of this provider's patient population coming from Snohomish, WA. This provider's primary affiliated billing organization is PHYSICIANS EYE CLINIC, PLLC (NPI: 1659393635; TIN: 911665321) and primary practice location at 98201-4919.

Jones' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 517 traditional Medicare patients, billed 1,332 HCPCS/CPT codes, and received $143,388 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,670 prescription claims across 483 beneficiaries totaling $189,511 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 7 records totaling $284. 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 risen steadily, from $12,342 to $143,388. Similarly, Part D prescription costs have moved sharply higher in recent years, from $2,622 to $189,511. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$86K$172K2016 Medicare payment: $12,342 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $57,644 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $82,058 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $93,429 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $61,589 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $111,375 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $135,599 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $172,172 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $143,388 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
201681121$12,342
2017300491$57,644
2018386648$82,058
2019374712$93,429
2020292560$61,589
2021427890$111,375
20224571,034$135,599
20236271,475$172,172
20245171,332$143,388

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$95K$190K2015 Drug cost: $2,622 (USD; Tot_Drug_Cst)2016 Drug cost: $2,141 (USD; Tot_Drug_Cst)2017 Drug cost: $22,262 (USD; Tot_Drug_Cst)2018 Drug cost: $31,344 (USD; Tot_Drug_Cst)2019 Drug cost: $53,468 (USD; Tot_Drug_Cst)2020 Drug cost: $54,187 (USD; Tot_Drug_Cst)2021 Drug cost: $78,169 (USD; Tot_Drug_Cst)2022 Drug cost: $97,699 (USD; Tot_Drug_Cst)2023 Drug cost: $149,368 (USD; Tot_Drug_Cst)2024 Drug cost: $189,511 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151958$2,622
20161246$2,141
2017104232$22,262
2018142372$31,344
2019196512$53,468
2020202577$54,187
2021274905$78,169
2022309912$97,699
20233941,401$149,368
20244831,670$189,511

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more98103$86
92014Established patient complete exam of visual system232233$84
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more129156$59
92250Photography of the retina124126$26
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes86148$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine281,740$35,275
TyrvayaVarenicline Tartrate271,350$28,920
RocklatanNetarsudil Mesylat/Latanoprost321,490$21,707
LumiganBimatoprost151,185$11,229
Prednisolone AcetatePrednisolone Acetate2035,349$6,355

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.7$284BIOTISSUE HOLDINGS INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Thomas W. Jones, MD?

Tedicare shows public-source Medicare data for Thomas W. Jones, MD (NPI 1205195641), 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 Thomas W. Jones, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Thomas W. Jones, MD?

Thomas W. Jones, MD is linked to PHYSICIANS EYE CLINIC, PLLC (billing NPI 1659393635) in the available physician profile data.

Does Thomas W. Jones, MD have Open Payments data?

Thomas W. Jones, MD has 7 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.