Dr. Michael C Jones , MD
Urology • Fredericksburg, TX
703 S Adams St
Fredericksburg, TX 786244444
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 15, 2006; this date does not establish years in practice.
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Published CMS data list 2,905 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 81001 — Manual urinalysis test with examination using microscope, automated: 1,130 service units.
- 99214 — Established patient outpatient office visit: 854 service units.
- 99213 — Established patient outpatient office visit: 142 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 24 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 783 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Finasteride — 210 prescription fills, including refills.
- Tamsulosin Hcl — 174 prescription fills, including refills.
- Potassium Citrate Er (Potassium Citrate) — 76 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 3,542 in 2017 to 2,905 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
703 S Adams St
Fredericksburg, TX 786244444
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
650 people with Original Medicare in 2021
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2021.
Medicare-allowed amount
About $246,234 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $180,197 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
2,013 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$72,290 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022.
Open Payments general payments, program year 2021
All general payments: $131.88 across 7 records.
By nature of payment
- Food and Beverage: $131.88 across 7 records.
Reporting-company totals (3 largest of 5)
- Merck Sharp & Dohme Corporation: $42.79 across 2 records.
- UROVANT SCIENCES INC: $39.32 across 2 records.
- Astellas Pharma US Inc: $21.98 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Jones has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Jones as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fredericksburg and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Jones are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Jones are from 2022.
3 active clinicians are listed under Urology with a practice address in Fredericksburg, TX (968 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 18% from 3,542 in 2017 to 2,905 in 2021.
- 2017: 3,542
- 2018: 3,399
- 2019: 3,582
- 2020: 3,094
- 2021: 2,905
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $232,609 in 2017 and $246,234 in 2021.
- 2017: $232,609
- 2018: $239,401
- 2019: $287,139
- 2020: $251,732
- 2021: $246,234
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Paid by Medicare
Paid by Medicare stayed about the same: $169,610 in 2017 and $180,197 in 2021.
- 2017: $169,610
- 2018: $174,361
- 2019: $208,819
- 2020: $185,065
- 2021: $180,197
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 71% from 2,711 in 2018 to 783 in 2022.
- 2018: 2,711
- 2019: 2,690
- 2020: 2,403
- 2021: 2,454
- 2022: 783
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30-day fills
30-day fills decreased 62% from 5,336 in 2018 to 2,013 in 2022.
- 2018: 5,336
- 2019: 5,131
- 2020: 4,813
- 2021: 5,210
- 2022: 2,013
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Part D drug cost
Part D drug cost decreased 70% from $240,977 in 2018 to $72,290 in 2022.
- 2018: $240,977
- 2019: $245,771
- 2020: $249,784
- 2021: $254,940
- 2022: $72,290
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $74.92 in 2019 to $131.88 in 2021.
- 2019: $74.92
- 2020: $474.40
- 2021: $131.88
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $131.88.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
PADCEV | General | $21.98 |
| UROVANT SCIENCES INC |
Food and Beverage
Cash or cash equivalent
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GEMTESA | General | $21.66 |
| Merck Sharp & Dohme Corporation |
Food and Beverage
In-kind items and services
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BRIDION | General | $21.50 |
| Merck Sharp & Dohme Corporation |
Food and Beverage
In-kind items and services
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BRIDION | General | $21.29 |
| UROVANT SCIENCES INC |
Food and Beverage
Cash or cash equivalent
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GEMTESA | General | $17.66 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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ERLEADA | General | $14.97 |
| TOLMAR Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
ELIGARD | General | $12.82 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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81001
Manual urinalysis test with examination using microscope, automated
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1,130 | 589 | $20.00 | $3.15 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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854 | 526 | $200.00 | $127.28 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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142 | 118 | $150.00 | $89.73 |
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J9217
Leuprolide acetate (for depot suspension), 7.5 mg
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108 | 12 | $750.00 | $183.59 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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106 | 84 | $275.00 | $173.63 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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83 | 83 | $250.00 | $110.26 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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76 | 71 | $425.00 | $233.03 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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50 | 44 | $125.00 | $55.05 |
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76775
Limited ultrasound scan behind abdominal cavity
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39 | 36 | $250.00 | $58.23 |
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76857
Limited ultrasound scan of pelvis
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38 | 35 | $250.00 | $47.57 |
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52332
Insertion of stent in ureter using an endoscope
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33 | 26 | $1636.36 | $85.09 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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29 | 29 | $300.00 | $164.91 |
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52214
Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope
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27 | 25 | $2000.00 | $157.80 |
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52356
Crushing of stone of ureter with insertion of stent using an endoscope
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23 | 23 | $2608.70 | $432.93 |
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55700
Biopsy of prostate gland
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21 | 21 | $450.00 | $72.21 |
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76872
Ultrasound scan of pelvic region through rectum
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21 | 21 | $400.00 | $32.00 |
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76942
Ultrasonic guidance for needle placement
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21 | 21 | $400.00 | $30.07 |
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52281
Dilation of urethra using an endoscope
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18 | 18 | $1250.00 | $319.42 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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18 | 12 | $50.00 | $32.03 |
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51701
Insertion of temporary bladder tube
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15 | 13 | $125.00 | $45.18 |
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51798
Ultrasound measurement of bladder capacity after voiding
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14 | 12 | $40.00 | $9.98 |
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52601
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
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14 | 14 | $2500.00 | $716.84 |
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52344
Repair of stricture of ureter using an endoscope
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13 | 12 | $2500.00 | $291.04 |
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52310
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
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12 | 12 | $750.00 | $309.96 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Finasteride | Finasteride | 210 | 18,600 | $3,563.59 | 92 |
| Tamsulosin Hcl | Tamsulosin Hcl | 174 | 13,615 | $2,637.43 | 65 |
| Potassium Citrate Er | Potassium Citrate | 76 | 6,040 | $9,905.33 | 30 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 64 | 4,619 | $2,151.24 | 28 |
| Myrbetriq | Mirabegron | 42 | 2,010 | $31,477.79 | 14 |
| Terazosin Hcl | Terazosin Hcl | 40 | 3,546 | $658.32 | 21 |
| Gemtesa | Vibegron | 39 | 1,202 | $18,852.08 | — |
| Anastrozole | Anastrozole | 36 | 3,138 | $680.80 | 15 |
| Cephalexin | Cephalexin | 29 | 2,317 | $647.83 | 15 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 23 | 1,251 | $1,077.93 | 14 |
| Allopurinol | Allopurinol | 22 | 1,980 | $411.43 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 17 | 1,350 | $91.72 | — |
| Bicalutamide | Bicalutamide | 11 | 398 | $134.13 | — |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20110321001033
TX
0547443053
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)
Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)
Recorded as MICHAEL JONES, M.D.
Urology (license number reported to NPPES: TX F4131)
NPI status registered as active in NPPES database
Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)
Registered at 703 S ADAMS ST, FREDERICKSBURG, TX 786244444 (Tel: 8309979507)
Recorded as MICHAEL JONES, M.D.
Urology (license number reported to NPPES: TX F4131)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
703 S Adams St
Fredericksburg, TX 786244444
Phone: 8309979507