Medicare Enrolled

Dr. Johnny Jones, M.D.

Internal Medicine · Locust Grove, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
4865 BILL GARDNER PKWY, Locust Grove, GA 30248
7706920100
Registered in NPPES since 2008
NPI: 1235397308 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. Johnny Jones is an internal medicine specialist in Locust Grove, GA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Jones performed 1,309 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Jones received a total of $9,194 from 39 pharmaceutical and/or device companies across 537 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years of NPI registration ▲ Top 27% volume in GA $9,194 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,309
Medicare services
Top 27% in GA for internal medicine
Not available
Unique patients (not deduplicated)
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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.

Procedure Volume Avg. paid Avg. submitted
Tissue pathology examination, moderate complexity
A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue.
293 $22 $54
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
197 $61 $139
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
175 $34 $115
Special tissue stain and interpretation
A laboratory test using special stains to examine tissue samples, including the pathologist's review and written report of the findings.
172 $46 $107
Special stain test for organisms
A laboratory test using special stains on tissue slides to identify microorganisms. The process includes the technical preparation of the slides and a professional interpretation of the results.
100 $58 $130
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
99 $45 $98
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
78 $74 $202
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
52 $68 $656
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
37 $117 $309
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
32 $89 $764
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
32 $78 $205
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
29 $179 $808
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
13 $124 $598
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,194
Total received (2018-2024)
Avg $1,313/year across 7 years
Top 8% in GA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
537
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,844
2023
$1,577
2022
$1,613
2021
$1,416
2020
$641
2019
$769
2018
$1,334

Payments by company (2024)

ABBVIE INC.
$933
Janssen Biotech, Inc.
$204
Gilead Sciences, Inc.
$139
Regeneron Healthcare Solutions, Inc.
$135
AIMMUNE THERAPEUTICS, INC.
$121
Lilly USA, LLC
$75
Takeda Pharmaceuticals U.S.A., Inc.
$65
Ipsen Biopharmaceuticals, Inc
$53
Merck Sharp & Dohme LLC
$40
Phathom Pharmaceuticals, Inc.
$28
GENZYME CORPORATION
$22
Amgen Inc.
$15
Celltrion USA Inc.
$14
Top 3 companies account for 69.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$2,870
AbbVie Inc.
$1,166
FUJIFILM Medical Systems USA, Inc.
$889
Janssen Biotech, Inc.
$673
Takeda Pharmaceuticals U.S.A., Inc.
$410
Gilead Sciences, Inc.
$397
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$330
Braintree Laboratories, Inc.
$274
AbbVie, Inc.
$232
Regeneron Healthcare Solutions, Inc.
$187
PFIZER INC.
$173
GENZYME CORPORATION
$168
AIMMUNE THERAPEUTICS, INC.
$121
Ardelyx, Inc.
$108
RedHill Biopharma Inc.
$107
Merck Sharp & Dohme LLC
$92
Lilly USA, LLC
$92
Celgene Corporation
$83
Ironwood Pharmaceuticals, Inc
$83
IRONWOOD PHARMACEUTICALS, INC
$80
Amgen Inc.
$77
QOL Medical, LLC
$75
Nestle HealthCare Nutrition Inc.
$72
NESTLE HEALTHCARE NUTRITION INC.
$63
Ipsen Biopharmaceuticals, Inc
$53
Daiichi Sankyo Inc.
$44
Synergy Pharmaceuticals Inc
$41
Intercept Pharmaceuticals, Inc.
$35
Phathom Pharmaceuticals, Inc.
$28
Prometheus Laboratories Inc.
$25
Merck Sharp & Dohme Corporation
$24
Ferring Pharmaceuticals Inc.
$22
Otsuka America Pharmaceutical, Inc.
$17
Allergan Inc.
$16
Enterra Medical, Inc.
$16
Celltrion USA Inc.
$14
Boston Scientific Corporation
$14
Alfasigma USA, Inc.
$12
Romark Laboratories, LC
$11
Top 3 companies account for 53.6% of all-time payments
Associated products mentioned in payments ›
AVSOLA · Aemcolo · Alinia Tablets 500mg 30 count bottle · Amitiza · BREATHTEK · CLENPIQ · CREON · Creon · DIFICID · DUPIXENT · ENTYVIO · EOHILIA · ESD - Core Endoscopy · Entyvio · GATTEX · GENERAL - ENDOCHOICE · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · IQIRVO · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · MOVIPREP · Movantik · OCALIVA · OMVOH · REMICADE · RENFLEXIS · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUPREP BOWEL PREP · Sucraid · TREMFYA · TRULANCE · Trulance · UPLIZNA · VEGZELMA · VIBERZI · VOQUEZNA · VOWST · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an internal medicine specialist in Locust Grove?
Compare internal medicine physicians in the Locust Grove area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians in nearby ZIP areas
257
County median income
$81,612
Nearest hospital to ZIP centroid (approximate)
WELLSTAR SYLVAN GROVE MEDICAL CENTER
8.6 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Jones is a clinical cardiology specialist, with above-average Medicare volume (top 27% in GA), with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Jones experienced with tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Jones performed 293 tissue pathology examination, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Jones receive payments from pharmaceutical companies?
Yes. Dr. Jones received a total of $9,194 from 39 companies across 537 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 internal medicine physicians in Locust Grove?
Dr. Jones's average Medicare payment per service is $52. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →