Derek Jones, M.D.
NPI 1528202272 · Internal Medicine Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Jones, M.D. is a Internal Medicine Physician provider in La Jolla, CA (NPI 1528202272).
Provider details
- NPI number
- 1528202272
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A107403 (CA)
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
17 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
968 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 753 | $120 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 128 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 60 | $175 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 27 | $84 |
Typical Medicare-allowed amounts for these services range $84–$175 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14,800 across 4 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
- 2009-04-24
- Last updated
- 2010-05-17
Frequently asked questions
- What is Derek Jones's NPI number?
- Derek Jones's National Provider Identifier (NPI) is 1528202272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Jones's specialty?
- Derek Jones is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Derek Jones located?
- Derek Jones's practice location on file with NPPES is 10666 N Torrey Pines Rd # Mc302c, La Jolla, CA 92037-1027.
- What is Derek Jones's phone number?
- The practice phone number listed in the NPPES registry for Derek Jones is (858) 554-7909.
- Does Derek Jones accept Medicare?
- Derek Jones is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Jones's NPI active?
- Yes — Derek Jones's NPI (1528202272) is active in the NPPES registry as of the last update on 2010-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.