Physician

Phillip Wayne Jones, MD

According to 2025 Medicare claims, Phillip Jones, MD (NPI: 1871588806) practices pulmonary disease in the Johnson City, TN market, with the plurality of this provider's patient population coming from Washington, TN. This provider's primary affiliated billing organization is ALLERGY ASSOCIATES, P.A. (NPI: 1073508347; TIN: 620863368) and primary practice location at 37604-2396. Jones is affiliated with the AnewCare Collaborative, LLC (ACO ID: A1241), participating under the MSSP model.

Jones' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 391 traditional Medicare patients, billed 38,658 HCPCS/CPT codes, and received $687,578 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 4,268 prescription claims across 715 beneficiaries totaling $2,130,667 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 494 claims. Open Payments data shows 60 records totaling $1,727. 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 $110,003 to $687,578. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $397,167 to $2,130,667. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $197,003 to $20,706.

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$344K$688K2015 Medicare payment: $110,003 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $110,926 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $229,053 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $405,555 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $523,790 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $473,828 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $656,824 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $502,748 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $619,189 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $687,578 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154379,126$110,003
201642511,949$110,926
201746416,368$229,053
201851723,669$405,555
201950232,904$523,790
202046032,545$473,828
202144637,966$656,824
202241827,711$502,748
202341429,364$619,189
202439138,658$687,578

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$1.1M$2.1M2015 Drug cost: $397,167 (USD; Tot_Drug_Cst)2016 Drug cost: $379,181 (USD; Tot_Drug_Cst)2017 Drug cost: $525,687 (USD; Tot_Drug_Cst)2018 Drug cost: $1,084,001 (USD; Tot_Drug_Cst)2019 Drug cost: $1,171,528 (USD; Tot_Drug_Cst)2020 Drug cost: $1,345,892 (USD; Tot_Drug_Cst)2021 Drug cost: $1,238,434 (USD; Tot_Drug_Cst)2022 Drug cost: $1,072,595 (USD; Tot_Drug_Cst)2023 Drug cost: $1,489,054 (USD; Tot_Drug_Cst)2024 Drug cost: $2,130,667 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155052,286$397,167
20165122,303$379,181
20175422,499$525,687
20185272,684$1,084,001
20195472,834$1,171,528
20205763,157$1,345,892
20215653,218$1,238,434
20226273,238$1,072,595
20236683,726$1,489,054
20247154,268$2,130,667

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$214K$429K2015 Medicare payment: $370,691 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $352,477 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $226,092 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $216,841 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $238,820 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $312,686 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $360,104 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $428,654 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $394,342 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $282,999 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015124795$370,691
201681797$352,477
201762660$226,092
201850601$216,841
201961682$238,820
202052569$312,686
2021N/R417$360,104
202225515$428,654
202312521$394,342
202429494$282,999

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more7878$105
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more141199$85
95165Professional service for preparation and provision of 1 or more antigens581,440$9
95117Professional service for multiple injections of allergen56495$8
95004Test for allergy using allergenic extract563,408$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter43115,804$335,477
XolairOmalizumab942,898$267,245
HyqviaIgg/Hyaluronidase,recombinant31819$174,007
NucalaMepolizumab451,260$159,235
Dupixent SyringeDupilumab32896$135,819

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J1559Injection, immune globulin (hizentra), 100 mgNN/R32$198,615
J1557Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mgNN/R11$57,639
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY14118$9,845
Q2052Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)NN/R19$6,263
A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)NN/R27$1,807

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.60$1,727GlaxoSmithKline, LLC.
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 Phillip Wayne Jones, MD?

Tedicare shows public-source Medicare data for Phillip Wayne Jones, MD (NPI 1871588806), 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 Phillip Wayne Jones, MD have ACO affiliation data?

Phillip Wayne Jones, MD is shown with ACO affiliation data for AnewCare Collaborative, LLC (MSSP, ACO ID A1241).

What billing organization is linked to Phillip Wayne Jones, MD?

Phillip Wayne Jones, MD is linked to ALLERGY ASSOCIATES, P.A. (billing NPI 1073508347) in the available physician profile data.

Does Phillip Wayne Jones, MD have Open Payments data?

Phillip Wayne Jones, MD has 60 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.