Michael Jones, M.D.
NPI 1083611636 · Gastroenterology Physician · Crestview Hills, KY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Jones, M.D. is a Gastroenterology Physician provider in Crestview Hills, KY (NPI 1083611636).
Provider details
- NPI number
- 1083611636
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 34243 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
783 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 203 | $153 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 154 | $116 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 142 | $41 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 81 | $82 |
| Insertion of Guide Wire With Dilation of Esophagus Using a Flexible Endoscope43248 | 75 | $116 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 802 | 242 |
| Pantoprazole Sodium | 358 | 97 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 310 | 303 |
| Misoprostol | 136 | 32 |
| Esomeprazole Magnesium | 91 | 28 |
| Sucralfate | 72 | 17 |
| Linaclotidebrand: Linzess | 65 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$310 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2017-08-25
Frequently asked questions
- What is Michael Jones's NPI number?
- Michael Jones's National Provider Identifier (NPI) is 1083611636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Jones's specialty?
- Michael Jones is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Jones located?
- Michael Jones's practice location on file with NPPES is 425 Centre View Blvd, Crestview Hills, KY 41017-3409.
- What is Michael Jones's phone number?
- The practice phone number listed in the NPPES registry for Michael Jones is (859) 341-3575.
- Does Michael Jones accept Medicare?
- Michael Jones is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Jones's NPI active?
- Yes — Michael Jones's NPI (1083611636) is active in the NPPES registry as of the last update on 2017-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.