Michael Jones, M.D.
NPI 1538220199 · Internal Medicine Physician · New York, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Jones, M.D. is a Internal Medicine Physician provider in New York, NY (NPI 1538220199).
Provider details
- NPI number
- 1538220199
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 172400 (NY)
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
19 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
318 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 63 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 59 | $84 |
| Hemoglobin A1c Level83036 | 42 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 34 | $8 |
| Automated Urinalysis Test81003 | 32 | $2 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Amlodipine Besylate | 43 |
| Lisinopril | 35 |
| Pantoprazole Sodium | 33 |
| Gabapentin | 29 |
| Levothyroxine Sodiumbrand: Synthroid | 23 |
| Losartan Potassium | 21 |
| Metformin Hcl | 20 |
| Semaglutidebrand: Ozempic | 19 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Jones's NPI number?
- Michael Jones's National Provider Identifier (NPI) is 1538220199, 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 Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Jones located?
- Michael Jones's practice location on file with NPPES is 450 Fashion Ave Ste 309, New York, NY 10123-0309.
- What is Michael Jones's phone number?
- The practice phone number listed in the NPPES registry for Michael Jones is (212) 594-0423.
- 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 (1538220199) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.