Thomas Jones, MD
NPI 1316939564 · Family Medicine Physician · Woodbury, MN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Jones, MD is a Family Medicine Physician provider in Woodbury, MN (NPI 1316939564).
Provider details
- NPI number
- 1316939564
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 41942 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
176 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $124 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 27 | $3 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 17 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 14 | $8 |
Typical Medicare-allowed amounts for these services range $3–$124 (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 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 51 | 50 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 21 | 20 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 18 | 18 |
| Tramadol Hcl | 17 | 17 |
| Fluticasone Propionate | 16 | — |
| Cephalexin | 14 | 14 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-15
- Last updated
- 2020-01-23
- Certified
- 2020-01-23
Frequently asked questions
- What is Thomas Jones's NPI number?
- Thomas Jones's National Provider Identifier (NPI) is 1316939564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Jones's specialty?
- Thomas Jones is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Jones located?
- Thomas Jones's practice location on file with NPPES is 8325 City Centre Dr, Woodbury, MN 55125-3323.
- What is Thomas Jones's phone number?
- The practice phone number listed in the NPPES registry for Thomas Jones is (651) 731-0859.
- Does Thomas Jones accept Medicare?
- Thomas Jones is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Jones's NPI active?
- Yes — Thomas Jones's NPI (1316939564) is active in the NPPES registry as of the last update on 2020-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.