Michael Jones, MD
NPI 1164403226 · Hematology & Oncology Physician · Fond Du Lac, WI
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Jones, MD is a Hematology & Oncology Physician provider in Fond Du Lac, WI (NPI 1164403226).
Provider details
- NPI number
- 1164403226
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 53443-021 (WI)
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
490 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 204 | $90 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 123 | $61 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 73 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 54 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 36 | $85 |
Typical Medicare-allowed amounts for these services range $61–$128 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 167 | 48 |
| Prochlorperazine Maleate | 80 | 53 |
| Hydroxyurea | 72 | 14 |
| Ondansetron Hcl | 68 | 47 |
| Dexamethasone | 67 | 31 |
| Prednisone | 52 | 22 |
| Tamoxifen Citrate | 46 | 12 |
| Enzalutamidebrand: Xtandi | 43 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$8,941 across 6 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
- 2005-11-07
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Michael Jones's NPI number?
- Michael Jones's National Provider Identifier (NPI) is 1164403226, 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 Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Jones located?
- Michael Jones's practice location on file with NPPES is 480 E Division St, Fond Du Lac, WI 54935-3734.
- What is Michael Jones's phone number?
- The practice phone number listed in the NPPES registry for Michael Jones is (920) 926-4100.
- 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 (1164403226) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.