John Jones
NPI 1194726364ActiveIndividual· Specialist· Albuquerque, NM
Specialist in Albuquerque, New Mexico, licensed in NM, with an NPI issued in August 2005. Their prescriptions cost Medicare Part D more than their services did: $119,636 for 1,223 claims, against $6,070 paid for services in 2024.
Overview
| NPI | 1194726364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Mar 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 86-069 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 159 across 17 procedure codes |
| Paid by Medicare | $6,070 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,223 · 2,283 30-day fills |
|---|---|
| Patients | 110 |
| Total drug cost | $119,636 |
| Generic share | 87% of claims |
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