Physician

John Paul Jones, M.D.

According to 2025 Medicare claims, John Jones, M.D. (NPI: 1275592024) practices urology in the Casper, WY market, with the plurality of this provider's patient population coming from Natrona, WY. This provider's primary affiliated billing organization is CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC (NPI: 1720009749; TIN: 830250612) and primary practice location at 82601-2276. Jones is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Jones' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 826 traditional Medicare patients, billed 6,112 HCPCS/CPT codes, and received $278,990 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 3,403 prescription claims across 628 beneficiaries totaling $1,147,213 in drug costs, led by Erleada (Apalutamide). DME data shows 397 claims. Open Payments data shows 14 records totaling $311. 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 $190,852 to $278,990. Similarly, Part D prescription costs have moved sharply higher in recent years, from $193,979 to $1,147,213. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $1,469 to $586.

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$143K$286K2015 Medicare payment: $190,852 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $220,846 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $197,383 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $176,523 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $200,810 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $189,147 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $253,455 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $259,044 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $286,341 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $278,990 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157405,071$190,852
20168016,488$220,846
20178118,163$197,383
20188356,130$176,523
20198766,174$200,810
20207906,243$189,147
20217948,684$253,455
20228926,310$259,044
20239007,030$286,341
20248266,112$278,990

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$574K$1.1M2015 Drug cost: $193,979 (USD; Tot_Drug_Cst)2016 Drug cost: $203,877 (USD; Tot_Drug_Cst)2017 Drug cost: $174,093 (USD; Tot_Drug_Cst)2018 Drug cost: $199,998 (USD; Tot_Drug_Cst)2019 Drug cost: $199,330 (USD; Tot_Drug_Cst)2020 Drug cost: $194,845 (USD; Tot_Drug_Cst)2021 Drug cost: $338,533 (USD; Tot_Drug_Cst)2022 Drug cost: $205,561 (USD; Tot_Drug_Cst)2023 Drug cost: $436,287 (USD; Tot_Drug_Cst)2024 Drug cost: $1,147,213 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154132,247$193,979
20164582,386$203,877
20175002,440$174,093
20185512,659$199,998
20195772,940$199,330
20205362,823$194,845
20215142,569$338,533
20225772,697$205,561
20236003,105$436,287
20246283,403$1,147,213

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$53K$106K2015 Medicare payment: $52,160 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $70,130 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $83,853 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $74,534 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $84,274 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $93,259 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $80,978 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $76,218 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $106,399 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $102,159 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201557381$52,160
201653467$70,130
201758423$83,853
201843448$74,534
201955469$84,274
202052515$93,259
202116410$80,978
202242377$76,218
202330436$106,399
202427397$102,159

* / # = 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 more435649$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more324436$58
36415Insertion of needle into vein for collection of blood sample111164$8
51798Ultrasound measurement of bladder capacity after voiding303424$7
81002Urinalysis, manual test319463$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ErleadaApalutamide29870$407,874
XtandiEnzalutamide19570$273,594
OrgovyxRelugolix982,930$253,471
MyrbetriqMirabegron1215,152$78,056
Abiraterone AcetateAbiraterone Acetate13390$29,250

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachN16116$78,851
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R64$13,477
A4393Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), eachNN/R13$2,325
A4432Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), eachNN/R19$1,802
A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, eachNN/R17$1,764

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$311PFIZER 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 John Paul Jones, M.D.?

Tedicare shows public-source Medicare data for John Paul Jones, M.D. (NPI 1275592024), 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 John Paul Jones, M.D. have ACO affiliation data?

John Paul Jones, M.D. is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

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

John Paul Jones, M.D. is linked to CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC (billing NPI 1720009749) in the available physician profile data.

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

John Paul Jones, M.D. has 14 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.