MICHAEL W JONES (MD) – Hematology & Oncology Physician, NPI 1164403226
Hematology & Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
121 MEDICAL ONCOLOGY in WI
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Provider Addresses for MICHAEL W JONES (MD)
480 E DIVISION ST
FOND DU LAC, WI 549353734
Phone: (920) 926-4100
Fax: (920) 926-4190
Type: Mailing
480, East Division Street, Fond du Lac, Fond du Lac County, Wisconsin, 54935, United States
FOND DU LAC, WI 549353734
Phone: (920) 926-4100
Type: Location
Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada
FOND DU LAC, WI 549354560
Phone: (920) 926-8340
Fax: (920) 926-8370
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $8,941.
Total Amount is formed as General ($8,941) + Research ($0) + Ownership ($0) = $8,941.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($8,941).
Total Amount
$8,941
General + Research + Ownership
Payments
6
Total payment records
General Amount
$8,941
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $8,941 |
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: 2005-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20051025000434 | I | Medical Oncology | WI | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 820 | 17 | $0 |
| J2469 | Injection, palonosetron hcl, 25 mcg | 580 | 15 | $0 |
| 96375 | Injection of additional new drug or substance into vein | 277 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 66 | $0 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 229 | 32 | $0 |
Insurance plans in this area (ZIP 54935)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| MEDICAL ONCOLOGY | WI | 96415 | Infusion of chemotherapy into a vein | 76 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Internal Medicine | WI | |
| U R O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| U R O L O G Y | WI | |
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Vascular Surgery, General Surgery | WI | |
| - | ND |
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