Physician

Warren Jones, M.D.

According to 2025 Medicare claims, Warren Jones, M.D. (NPI: 1841293586) practices family practice in the Kingsport-Bristol, TN-VA market, with the plurality of this provider's patient population coming from Sullivan, TN. This provider's primary affiliated billing organization is HOLSTON MEDICAL GROUP PC (NPI: 1831110667; TIN: 621388079) and primary practice location at 37663-3347. Jones is affiliated with the Emergent ACO, LLC (ACO ID: A4556), participating under the MSSP model.

Jones' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 260 traditional Medicare patients, billed 6,892 HCPCS/CPT codes, and received $152,323 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 13,183 prescription claims across 724 beneficiaries totaling $832,428 in drug costs, led by Eliquis (Apixaban). DME data shows 86 claims. Open Payments data shows 83 records totaling $6,181. 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 $91,030 to $152,323. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $15,410 and ending at $6,839.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	263	3,658	$91,030
2016	263	2,508	$77,464
2017	271	2,769	$76,820
2018	284	4,773	$77,454
2019	316	5,188	$90,230
2020	330	6,089	$90,899
2021	302	4,787	$113,818
2022	266	5,981	$121,043
2023	271	4,664	$137,603
2024	260	6,892	$152,323

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	652	11,722	$633,539
2016	701	11,143	$631,335
2017	687	10,883	$587,281
2018	672	10,635	$621,855
2019	696	10,842	$726,247
2020	706	11,672	$845,897
2021	713	11,714	$828,501
2022	711	11,951	$704,552
2023	760	12,156	$731,549
2024	724	13,183	$832,428

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	43	267	$11,489
2016	55	242	$6,887
2017	76	258	$5,432
2018	74	258	$8,056
2019	33	171	$4,209
2020	58	239	$9,533
2021	48	152	$6,046
2022	15	106	$4,550
2023	N/R	100	$5,233
2024	N/R	86	$4,257

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	182	182	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	640	$87
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	179	292	$12
36415	Insertion of needle into vein for collection of blood sample	167	268	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	178	300	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	230	9,711	$184,713
Jardiance	Empagliflozin	83	4,032	$74,790
Farxiga	Dapagliflozin Propanediol	76	3,240	$57,976
Ozempic	Semaglutide	41	1,624	$51,988
Xarelto	Rivaroxaban	50	2,590	$45,874

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
K0821	Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds	Y	N/R	12	$1,713
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	24	$1,630
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	12	$391
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	14	$202
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$197

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	83	$6,181	Genentech, 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 Warren Jones, M.D.?

Tedicare shows public-source Medicare data for Warren Jones, M.D. (NPI 1841293586), 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 Warren Jones, M.D. have ACO affiliation data?

Warren Jones, M.D. is shown with ACO affiliation data for Emergent ACO, LLC (MSSP, ACO ID A4556).

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

Warren Jones, M.D. is linked to HOLSTON MEDICAL GROUP PC (billing NPI 1831110667) in the available physician profile data.

Does Warren Jones, M.D. have Open Payments data?

Warren Jones, M.D. has 83 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.