MICHAEL PAUL JONES (M.D.) – Ophthalmology Physician, NPI 1164589164
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
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Provider Addresses for MICHAEL PAUL JONES (M.D.)
3990, North Illinois Street, Swansea, Saint Clair County, Illinois, 62226, United States
SWANSEA, IL 622261919
Phone: (618) 277-1130
Fax: (618) 277-4917
Type: Mailing
1125 PERIMETER PARK DR
COOKEVILLE, TN 385010910
Phone: (931) 528-1304
Fax: (931) 372-8958
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $7,133.
Total Amount is formed as General ($7,133) + Research ($0) + Ownership ($0) = $7,133.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Research LLC ($4,064).
Total Amount
$7,133
General + Research + Ownership
Payments
50
Total payment records
General Amount
$7,133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Research LLC | $4,064 |
| Alcon Vision LLC | $2,643 |
| Johnson & Johnson Surgical Vision, Inc. | $163 |
| Mallinckrodt Hospital Products Inc. | $108 |
| Novartis Pharmaceuticals Corporation | $43 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070703000337 | I | Ophthalmology | IL | TBD |
| I20140109001351 | I | Ophthalmology | MO | TBD |
| I20240521000999 | I | Ophthalmology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 6,700 | 24 | $0 |
| 92014 | Established patient complete exam of visual system | 308 | 276 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 304 | 177 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 292 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 199 | 167 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TN | |
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN |
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