Medicare Enrolled

Dr. Karen Jones, ARNP

Physician Assistant · Wildwood, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
5437 E SR 44 # MP38, Wildwood, FL 34785
3523239505
In practice since 2007 (18 years)
NPI: 1619182722 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Jones from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Jones

Dr. Karen Jones is a physician assistant in Wildwood, FL, with 18 years in practice. Based on federal Medicare data, Dr. Jones performed 23 Medicare services across 23 unique beneficiaries.

Between the years covered by Open Payments, Dr. Jones received a total of $5,553 from 33 pharmaceutical and/or device companies across 233 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Jones is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice▲ 23 Medicare services$ $5,553 industry payments

Medicare Practice Summary

Medicare Utilization ↗
23
Medicare services
Bottom 7% in FL for physician assistant
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
23
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)23$57$103
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,553
Total received (2021-2024)
Avg $1,388/year across 4 years
Top 6% in FL for physician assistant
33
Companies
233
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,417 (79.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$936 (16.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$200 (3.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$262
2023
$1,108
2022
$1,234
2021
$2,950

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Biohaven Pharmaceuticals, Inc.
$936
Novo Nordisk Inc
$750
Lilly USA, LLC
$442
PFIZER INC.
$392
AstraZeneca Pharmaceuticals LP
$367
ABBVIE INC.
$347
Esperion Therapeutics, Inc.
$242
Biohaven Pharmaceutical Holding Company Ltd.
$222
SANOFI-AVENTIS U.S. LLC
$200
Bayer HealthCare Pharmaceuticals Inc.
$196
AbbVie Inc.
$180
GlaxoSmithKline, LLC.
$148
Novartis Pharmaceuticals Corporation
$122
Sumitomo Pharma America, Inc.
$113
IBSA Pharma Inc.
$111
Janssen Pharmaceuticals, Inc
$99
Kowa Pharmaceuticals America, Inc.
$77
Boehringer Ingelheim Pharmaceuticals, Inc.
$77
Abbott Laboratories
$75
Bayer Healthcare Pharmaceuticals Inc.
$66
Sunovion Pharmaceuticals Inc.
$62
Exact Sciences Corporation
$55
Amgen Inc.
$49
Merck Sharp & Dohme Corporation
$37
Astellas Pharma US Inc
$35
Mylan Specialty L.P.
$30
Phathom Pharmaceuticals, Inc.
$24
Scilex Pharmaceuticals Inc.
$20
IDORSIA PHARMACEUTICALS US INC
$20
SCILEX PHARMACEUTICALS INC.
$19
SANOFI PASTEUR INC.
$15
Amneal Pharmaceuticals LLC
$13
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$12
Top 3 companies account for 38.3% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · BREZTRI · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · Cologuard Collection Kit · ELIQUIS · EMGALITY · ENTRESTO · ETERNA · FARXIGA · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE · FreeStyle Libre · GEMTESA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LO LOESTRIN FE · Livalo · MOUNJARO · Myrbetriq · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR 20 · QULIPTA · QUVIVIQ · REYVOW · RYBELSUS · Rybelsus · SEGLENTIS · SHINGRIX · SKYRIZI · SOLIQUA 100/33 · SPRAVATO · STEGLATRO · SYNTHROID · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tirosint · UBRELVY · UNITHROID · VOQUEZNA · VRAYLAR · Veozah · Wegovy · XARELTO · XIFAXAN · YUPELRI · ZTLido
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (80%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for physician assistant in FL.

Equivalent to $24,145 per 100 Medicare services performed
Looking for a physician assistant in Wildwood?
Compare physician assistants in the Wildwood area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician Assistants within 10 mi
271
Per 100K population
197.0
County median income
$73,297
Nearest hospital
VILLAGES REGIONAL HOSPITAL, THE
11.1 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Jones is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 6%), with 18 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Jones experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Jones performed 23 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Jones receive payments from pharmaceutical companies?
Yes. Dr. Jones received a total of $5,553 from 33 companies across 233 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Jones's costs compare to other physician assistants in Wildwood?
Dr. Jones's average Medicare payment per service is $57. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Jones) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →