Physician

Derek W, Jones, D.O.

According to 2025 Medicare claims, Derek W, Jones, D.O. (NPI: 1477754919) practices family practice in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Greenup, KY. This provider's primary affiliated billing organization is FAMILY MEDICINE CENTER, PLLC (NPI: 1679678619; TIN: 611389395) and primary practice location at 41101-7087. W is affiliated with the Main Street Rural Health Maple ACO LLC (ACO ID: A5401), participating under the MSSP model.

W's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 244 traditional Medicare patients, billed 2,087 HCPCS/CPT codes, and received $103,182 in Medicare payments. The top billing code was G0438 (Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit). Part D data shows 8,885 prescription claims across 553 beneficiaries totaling $1,034,699 in drug costs, led by Penicillamine (Penicillamine). DME data shows 110 claims. Open Payments data shows 148 records totaling $2,613. 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 moved from a higher plateau to a lower plateau, from $265,888 to $103,182. Similarly, Part D prescription costs have declined steadily, from $1,907,099 to $1,034,699. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	797	5,369	$265,888
2016	755	4,721	$223,669
2017	860	4,681	$221,558
2018	806	4,248	$226,929
2019	738	3,634	$196,138
2020	501	2,363	$126,260
2021	607	2,262	$145,805
2022	460	1,904	$104,784
2023	310	2,052	$114,256
2024	244	2,087	$103,182

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	649	33,920	$1,907,099
2016	657	32,956	$1,705,713
2017	701	34,231	$1,939,809
2018	700	34,033	$2,071,718
2019	669	30,013	$2,045,634
2020	790	17,390	$1,501,664
2021	942	22,869	$1,869,047
2022	915	19,523	$1,588,694
2023	678	12,050	$1,325,126
2024	553	8,885	$1,034,699

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	289	1,070	$43,918
2016	234	1,103	$35,023
2017	345	1,632	$42,747
2018	363	1,424	$55,248
2019	280	1,032	$49,775
2020	164	879	$68,069
2021	66	647	$35,696
2022	98	670	$35,057
2023	12	325	$15,032
2024	N/R	110	$3,696

* / # = 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
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	63	63	$147
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	418	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	127	539	$56
98927	Osteopathic manipulative treatment, 5-6 body regions	115	562	$38
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	107	157	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Penicillamine	Penicillamine	11	330	$107,472
Ozempic	Semaglutide	70	3,080	$95,991
Mounjaro	Tirzepatide	72	2,632	$94,918
Farxiga	Dapagliflozin Propanediol	65	3,570	$64,440
Eliquis	Apixaban	65	3,301	$63,111

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	13	$1,722
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	N/R	13	$667
A4314	Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)	N	N/R	12	$324
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	13	$307
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	20	$287

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	148	$2,613	ABBVIE INC.
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 Derek W, Jones, D.O.?

Tedicare shows public-source Medicare data for Derek W, Jones, D.O. (NPI 1477754919), 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 Derek W, Jones, D.O. have ACO affiliation data?

Derek W, Jones, D.O. is shown with ACO affiliation data for Main Street Rural Health Maple ACO LLC (MSSP, ACO ID A5401).

What billing organization is linked to Derek W, Jones, D.O.?

Derek W, Jones, D.O. is linked to FAMILY MEDICINE CENTER, PLLC (billing NPI 1679678619) in the available physician profile data.

Does Derek W, Jones, D.O. have Open Payments data?

Derek W, Jones, D.O. has 148 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.