Physician

David William Jones, MD

According to 2025 Medicare claims, David Jones, MD (NPI: 1912953860) practices family practice in the Kennewick-Richland, WA market, with the plurality of this provider's patient population coming from Benton, WA. This provider's primary affiliated billing organization is DISRUPTION HEALTHCARE PLLC (NPI: 1316715295; TIN: 93-4461641) and primary practice location at 99352-3558. Jones is affiliated with the Health Connect Partners, LLC (ACO ID: A2342), AdvantagePoint Health Alliance - Northwest, LLC (ACO ID: A5025), and 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 404 traditional Medicare patients, billed 1,971 HCPCS/CPT codes, and received $120,712 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 6,913 prescription claims across 580 beneficiaries totaling $574,934 in drug costs, led by Ozempic (Semaglutide). DME data shows 104 claims. Open Payments data shows 4 records totaling $103. 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 $70,318 to $120,712. Similarly, Part D prescription costs have risen steadily, from $344,791 to $574,934. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $8,419 and ending at $17,499.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	350	1,457	$70,318
2016	352	1,633	$81,373
2017	456	1,919	$97,002
2018	455	1,970	$94,617
2019	461	1,735	$88,668
2020	453	1,443	$73,184
2021	425	1,375	$84,549
2022	436	1,536	$118,423
2023	437	1,430	$120,843
2024	404	1,971	$120,712

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	380	5,618	$344,791
2016	363	6,153	$315,881
2017	393	6,239	$419,638
2018	408	6,663	$489,177
2019	434	7,467	$495,860
2020	474	7,545	$468,679
2021	500	7,342	$532,030
2022	512	7,028	$560,615
2023	570	6,490	$587,962
2024	580	6,913	$574,934

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	46	162	$2,135
2016	52	174	$3,667
2017	63	248	$4,046
2018	51	218	$4,113
2019	50	212	$7,883
2020	34	170	$4,712
2021	26	179	$6,659
2022	25	263	$11,262
2023	20	219	$15,824
2024	23	104	$9,222

* / # = 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	47	47	$130
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	680	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	91	120	$59
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	215	341	$13
83036	Hemoglobin a1c level	51	62	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	100	3,466	$110,701
Jardiance	Empagliflozin	56	3,180	$60,655
Eliquis	Apixaban	65	3,033	$59,501
Mounjaro	Tirzepatide	35	1,260	$46,234
Trulicity	Dulaglutide	28	1,012	$32,861

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	16	$7,418
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	16	$881
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	23	56	$714
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	16	$209

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$103	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 David William Jones, MD?

Tedicare shows public-source Medicare data for David William Jones, MD (NPI 1912953860), 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 David William Jones, MD have ACO affiliation data?

David William Jones, MD is shown with ACO affiliation data for Health Connect Partners, LLC (MSSP, ACO ID A2342), AdvantagePoint Health Alliance - Northwest, LLC (MSSP, ACO ID A5025), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to David William Jones, MD?

David William Jones, MD is linked to DISRUPTION HEALTHCARE PLLC (billing NPI 1316715295) in the available physician profile data.

Does David William Jones, MD have Open Payments data?

David William Jones, MD has 4 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.