Raleigh Jones Jr, MD
NPI 1356439889 · Otolaryngology Physician · Lexington, KY
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raleigh Jones Jr, MD is a Otolaryngology Physician provider in Lexington, KY (NPI 1356439889).
Provider details
- NPI number
- 1356439889
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 21416 (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
19 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
473 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 197 | $87 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 140 | $107 |
| Removal of Impacted Ear Wax69210 | 69 | $46 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 36 | $126 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 17 | $164 |
| Simple Removal of Skin Debris and Drainage of Mastoid Cavity69220 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ofloxacin | 85 | 63 |
| Ciprofloxacin Hcl/Dexamethbrand: Ciprofloxacin-Dexamethasone | 34 | 30 |
| Fluticasone Propionate | 29 | 13 |
| Betamethasone Dipropionate | 22 | 20 |
| Ipratropium Bromide | 15 | — |
| Prednisone | 15 | 15 |
| Ciprofloxacin Hcl | 11 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$92 across 3 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
- 2006-10-10
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Frequently asked questions
- What is Raleigh Jones Jr's NPI number?
- Raleigh Jones Jr's National Provider Identifier (NPI) is 1356439889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raleigh Jones Jr's specialty?
- Raleigh Jones Jr is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Raleigh Jones Jr located?
- Raleigh Jones Jr's practice location on file with NPPES is 740 S Limestone C300, Lexington, KY 40536-0001.
- What is Raleigh Jones Jr's phone number?
- The practice phone number listed in the NPPES registry for Raleigh Jones Jr is (859) 257-5405.
- Does Raleigh Jones Jr accept Medicare?
- Raleigh Jones Jr is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raleigh Jones Jr's NPI active?
- Yes — Raleigh Jones Jr's NPI (1356439889) is active in the NPPES registry as of the last update on 2020-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.