Medicare Enrolled

Dr. David Jones, MD

Sports Medicine (Orthopaedic Surgery) Physician · Raleigh, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
3801 WAKE FOREST RD STE 220, Raleigh, NC 27609
9198725296
In practice since 2005 (20 years)
NPI: 1083615694 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 →
Are you Dr. Jones? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Jones

Dr. David Jones is a sports medicine physician in Raleigh, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Jones performed 1,768 Medicare services across 995 unique beneficiaries.

Between the years covered by Open Payments, Dr. Jones received a total of $36,816 from 47 pharmaceutical and/or device companies across 163 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (orthopaedic surgery) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. 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.

✓ 20 years in practice ▲ Top 38% volume in NC $36,816 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,768
Medicare services
Top 38% in NC for sports medicine (orthopaedic surgery) physician
995
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~88 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.

Procedure Volume Avg. paid Avg. submitted
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
363 $5 $9
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.
258 $88 $249
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
183 $79 $325
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
142 $33 $108
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.
133 $62 $151
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
116 $1 $5
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
107 $32 $119
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
86 $28 $101
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.
72 $36 $51
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.
63 $113 $319
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
45 $128 $323
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.
45 $47 $71
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
35 $25 $101
MRI of leg joint, without contrast
A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye.
30 $107 $675
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
20 $965 $4,000
Pelvis X-ray, 1-2 views
An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints.
17 $21 $105
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
15 $30 $107
Total knee replacement 14 $926 $4,000
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.
12 $70 $218
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
12 $39 $133
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.
1.9% high complexity
39.1% medium
58.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$36,816
Total received (2018-2024)
Avg $5,259/year across 7 years
Top 13% in NC for sports medicine (orthopaedic surgery) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
163
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$29,126 (79.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,690 (20.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$128
2023
$8,087
2022
$208
2021
$9,451
2020
$159
2019
$6,117
2018
$12,667

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
VERTEX PHARMACEUTICALS INCORPORATED
$31
Globus Medical, Inc.
$28
Abbott Laboratories
$27
Bioventus LLC
$25
Davol Inc.
$16
Top 3 companies account for 67.7% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$34,750
Ethicon US, LLC
$278
Abbott Laboratories
$160
Bioventus LLC
$131
Orthogenrx Inc.
$86
SI-BONE, INC.
$83
DePuy Synthes Sales Inc.
$80
Flexion Therapeutics, Inc.
$72
Avanos Medical
$70
Daiichi Sankyo Inc.
$69
SI-BONE, Inc.
$64
Amniox Medical, Inc.
$52
Radius Health, Inc.
$51
Vericel Corporation
$50
Providence Medical Technology, Inc.
$49
Zyla Life Sciences
$46
Medtronic, Inc.
$42
Kaleo, Inc.
$40
Egalet US Inc
$39
AstraZeneca Pharmaceuticals LP
$35
Pacira Pharmaceuticals Incorporated
$33
Aziyo Biologics, Inc.
$32
Davol Inc.
$32
ERMI LLC
$31
VERTEX PHARMACEUTICALS INCORPORATED
$31
AcelRx Pharmaceuticals, Inc.
$29
Globus Medical, Inc.
$28
Orthofix Medical, Inc.
$27
Kinex Medical Company LLC
$27
Zyla Life Sciences, Inc.
$25
Conformis, Inc.
$24
Fidia Pharma USA Inc.
$24
SANOFI-AVENTIS U.S. LLC
$24
Horizon Therapeutics plc
$18
Zimmer Biomet Holdings, Inc.
$17
Endo Pharmaceuticals Inc.
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
ABBVIE INC.
$16
Heron Therapeutics, Inc.
$15
Mallinckrodt LLC
$15
IBSA Pharma Inc.
$14
FIDIA PHARMA USA INC.
$14
Smith & Nephew, Inc.
$13
Heraeus Medical, LLC.
$13
Medtronic USA, Inc.
$13
Assertio Therapeutics, Inc.
$11
Linvatec Corporation
$11
Top 3 companies account for 95.6% of all-time payments
Associated products mentioned in payments ›
ALLOGRAFT TISSUE · AQUAMANTYS · AQUAMANTYS(TM) · ARISTA AH FlexiTip · Acticoat Range · Ankle Fracture System · BIOLOGICS CONSUMABLES AUTOLOGOUS BLOOD PRODUCTS ANGEL PRP · Bonescalpel · CAPITAL CONSUMABLES CONSUMABLES RF BRF · Cervical-Stim Osteogenesis Stimulator · Continuous Passive Motion Device · DALVANCE · DERMABOND PRINEO · DSUVIA · DUROLANE · Durolane · ECM Patch · Evzio · Exogen Ultrasound Bone Healing System · Exparel · GELSYN 3 · GenVisc 850 · HYMOVIS · Hip · Hymovis · IFUSE IMPLANT · Iovera · LAMITRODE · Licart · MACI · MONOVISC · MOVANTIK · Mobi-C · Morphabond ER · Movantik · NEOX · OFIRMEV · ON-Q PUMP AND ACCESSORIES · ON-Q* PUMP AND ACCESSORIES · ORTHOVISC · PALACOS · PENNSAID · PLASMABLADE(TM) · PROCLAIM · Physio-Stim · Pouch · Proclaim Family of SCS IPGs · RELISTOR · SPRIX · STRATAFIX · SYNVISC-ONE · TriVisc sodium hyaluronate · Turalio · Tymlos · VAPR · XIAFLEX · ZYNRELEF · Zilretta · Zipsor · iDuo · iFuse Implant · iTotal · iUni
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 →

The majority of payments (79%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in sports medicine (orthopaedic surgery) physician and does not inherently indicate bias, but patients may wish to be aware.

Looking for a sports medicine physician in Raleigh?
Compare sports medicine physicians in the Raleigh area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Sports medicine physicians within 10 mi
29
Per 100K population
2.5
County median income
$101,763
Nearest hospital
REX HOSPITAL
5.6 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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 moderate Medicare volume, with speaking/promotional industry engagement in the top 13% of NC peers, with 20 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 betamethasone steroid injection?
Based on Medicare claims data, Dr. Jones performed 363 betamethasone steroid injection 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 $36,816 from 47 companies across 163 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 sports medicine physicians in Raleigh?
Dr. Jones's average Medicare payment per service is $64. 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. 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.

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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 →