Active NPI 1558470823 Individual Practitioner Male Practitioner

Dr. Brian A Stone , MD

Specialist • Jasper, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Stone, MD is a certified Specialist practicing in Jasper, AL. With approximately 41 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1985, Dr. Stone delivers high-quality medical care to the local community at 3400 HIGHWAY 78 E.

Dr. Stone is affiliated with Baptist Health Centers Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3400 Highway 78 E
412

Jasper, AL 355018907

Telephone 2053843013

Fax 2053843078

Associated Practice Facility / Clinic

🏢 Walker Baptist Medical Center Home Health Facility NPI 1528050176

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jasper, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +4.5 yrs vs City Avg

City Avg: 36.5 Yrs

State Avg: 34.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Jasper, AL (611 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stone (41 Years) 41 Yrs

Jasper Specialty Average (36.5 Years) 36.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	471	274	$298.00	$115.57
81003 Automated urinalysis test	431	246	$9.00	$2.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	82	74	$41.00	$15.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	69	$122.00	$50.69
52000 Diagnostic exam of bladder and urethra using an endoscope	74	65	$583.00	$207.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$456.00	$150.47
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	48	47	$558.00	$30.32
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	47	46	$956.00	$333.98
51741 Electronic assessment of bladder emptying	46	45	$236.00	$6.31
51797 Insertion of device into abdomen with pressure and urine flow rate study	46	45	$413.00	$163.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	24	$401.00	$163.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	16	$289.00	$108.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	17	$66.00	$12.84
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$202.00	$79.45
51798 Ultrasound measurement of bladder capacity after voiding	26	21	$59.00	$9.54
51600 Injection procedure for X-ray imaging of the bladder or during voiding	19	18	$515.00	$95.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$1380.00	$101.96
76873 Ultrasound of prostate	17	17	$483.00	$155.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$562.00	$158.20
57420 Examination of the vagina using an endoscope	16	15	$330.00	$59.20
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$705.00	$280.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$380.00	$118.79
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2306.00	$654.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	428	253	$298.00	$119.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	85	$122.00	$52.49
81003 Automated urinalysis test	95	83	$9.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	84	73	$583.00	$220.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$456.00	$157.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	17	$66.00	$13.18
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	46	46	$558.00	$29.86
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	46	46	$956.00	$354.47
51741 Electronic assessment of bladder emptying	46	46	$236.00	$6.55
51797 Insertion of device into abdomen with pressure and urine flow rate study	45	45	$413.00	$175.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	20	$401.00	$169.07
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$202.00	$83.68
57420 Examination of the vagina using an endoscope	31	30	$330.00	$62.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	18	$562.00	$166.32
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	14	$1380.00	$112.66
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	15	$705.00	$294.91
93980 Ultrasound scan of penile arterial inflow and venous outflow	11	11	$502.00	$108.12
54235 Injection procedure to induce erection	11	11	$258.00	$84.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	573	291	$8.32	$2.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	268	$281.98	$121.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	17	$61.40	$13.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	69	$115.09	$53.42
52000 Diagnostic exam of bladder and urethra using an endoscope	80	65	$551.86	$229.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$431.15	$158.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	21	$378.26	$169.66
99213 Established patient office or other outpatient visit, typically 15 minutes	37	37	$190.32	$85.63
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	34	31	$531.53	$35.20
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	30	30	$905.33	$370.01
51797 Insertion of device into abdomen with pressure and urine flow rate study	30	30	$391.00	$185.23
51741 Electronic assessment of bladder emptying	30	30	$223.33	$6.65
57420 Examination of the vagina using an endoscope	21	17	$317.14	$63.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	13	$270.60	$98.92
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$1633.16	$142.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$674.85	$306.40
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2184.00	$709.46
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$267.36	$97.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	674	313	$8.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	274	$274.00	$125.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	15	$60.00	$13.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$419.00	$161.46
52000 Diagnostic exam of bladder and urethra using an endoscope	58	52	$536.00	$222.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	38	$112.00	$53.93
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	33	32	$513.00	$33.74
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	31	31	$880.00	$374.90
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$186.00	$88.27
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	31	$380.00	$176.46
51741 Electronic assessment of bladder emptying	30	30	$217.00	$6.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	20	$517.00	$195.47
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	15	$1340.56	$114.59
51798 Ultrasound measurement of bladder capacity after voiding	17	14	$54.00	$9.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$266.00	$100.97
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$649.00	$299.90
57420 Examination of the vagina using an endoscope	15	15	$303.00	$63.25
51600 Injection procedure for X-ray imaging of the bladder or during voiding	12	12	$474.00	$103.32
50590 Shock wave crushing of kidney stones	11	11	$1976.00	$552.96
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	11	11	$146.00	$38.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	738	329	$8.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	493	288	$274.00	$102.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$419.00	$156.34
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	76	11	$572.00	$220.96
52000 Diagnostic exam of bladder and urethra using an endoscope	68	61	$536.00	$198.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	13	$60.00	$12.68
99213 Established patient office or other outpatient visit, typically 15 minutes	49	44	$186.00	$71.65
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	48	45	$513.00	$35.66
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	44	43	$880.00	$354.11
51797 Insertion of device into abdomen with pressure and urine flow rate study	43	42	$380.00	$152.08
51741 Electronic assessment of bladder emptying	43	42	$217.00	$6.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$517.00	$198.33
51798 Ultrasound measurement of bladder capacity after voiding	17	16	$54.00	$9.25
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2123.00	$713.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	14	11	$92.00	$29.30
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$1088.00	$369.05
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	13	$649.00	$276.60
57420 Examination of the vagina using an endoscope	14	13	$303.00	$60.93
76873 Ultrasound of prostate	12	12	$444.00	$166.26
51600 Injection procedure for X-ray imaging of the bladder or during voiding	11	11	$474.00	$96.94
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	11	11	$37.00	$13.87
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	11	11	$146.00	$37.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	852	390	$7.91	$2.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	657	341	$272.53	$100.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	131	14	$59.09	$13.17
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	18	$572.00	$225.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$418.12	$147.11
52000 Diagnostic exam of bladder and urethra using an endoscope	73	64	$526.55	$172.79
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	47	46	$507.26	$32.78
99213 Established patient office or other outpatient visit, typically 15 minutes	46	42	$183.85	$68.91
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	45	45	$872.49	$329.05
51741 Electronic assessment of bladder emptying	45	45	$214.29	$6.66
51797 Insertion of device into abdomen with pressure and urine flow rate study	44	44	$376.86	$126.85
51798 Ultrasound measurement of bladder capacity after voiding	31	28	$54.23	$11.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	22	$517.00	$191.08
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	18	$92.00	$28.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$266.00	$98.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	12	$1212.65	$117.61
57420 Examination of the vagina using an endoscope	17	16	$296.82	$55.76
93980 Ultrasound scan of penile arterial inflow and venous outflow	17	17	$453.71	$109.19
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	12	$637.65	$248.93
54235 Injection procedure to induce erection	16	16	$229.13	$83.73
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	16	16	$146.00	$35.87
51600 Injection procedure for X-ray imaging of the bladder or during voiding	16	16	$474.00	$89.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$55.00	$20.80
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2134.73	$638.11
76873 Ultrasound of prostate	11	11	$222.18	$75.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	873	406	$5.00	$2.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	602	342	$230.00	$99.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	157	16	$43.00	$16.53
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	133	21	$539.30	$214.39
52000 Diagnostic exam of bladder and urethra using an endoscope	76	66	$306.00	$151.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$354.00	$153.04
99213 Established patient office or other outpatient visit, typically 15 minutes	64	57	$153.00	$66.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	59	$311.00	$129.67
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	44	44	$243.00	$32.92
51741 Electronic assessment of bladder emptying	43	43	$95.00	$7.28
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	43	43	$542.00	$314.70
51797 Insertion of device into abdomen with pressure and urine flow rate study	42	42	$242.00	$104.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$450.00	$191.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	21	$55.00	$28.02
51600 Injection procedure for X-ray imaging of the bladder or during voiding	20	20	$217.00	$83.99
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$310.53	$109.66
51798 Ultrasound measurement of bladder capacity after voiding	18	18	$61.00	$14.04
93980 Ultrasound scan of penile arterial inflow and venous outflow	15	14	$321.00	$117.33
54235 Injection procedure to induce erection	15	14	$111.00	$85.79
57420 Examination of the vagina using an endoscope	14	14	$198.00	$54.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$239.00	$98.82
50590 Shock wave crushing of kidney stones	14	14	$1278.07	$513.56
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2252.00	$697.49
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$456.00	$212.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$447.00	$192.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,021	438	$5.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	718	382	$201.50	$98.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	274	32	$39.99	$21.20
84153 Psa (prostate specific antigen) measurement, total	259	231	$30.00	$24.48
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	145	23	$300.00	$209.42
84403 Testosterone (hormone) level, total	134	114	$51.00	$34.22
99213 Established patient office or other outpatient visit, typically 15 minutes	132	109	$126.09	$65.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$292.87	$148.74
52000 Diagnostic exam of bladder and urethra using an endoscope	95	79	$306.00	$150.34
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	70	68	$243.00	$32.68
51797 Insertion of device into abdomen with pressure and urine flow rate study	68	68	$242.00	$100.83
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	68	68	$542.00	$306.78
51741 Electronic assessment of bladder emptying	66	66	$95.00	$7.27
51600 Injection procedure for X-ray imaging of the bladder or during voiding	28	28	$217.00	$83.12
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	27	27	$138.00	$34.46
51798 Ultrasound measurement of bladder capacity after voiding	24	20	$61.00	$17.03
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	23	21	$55.00	$29.36
76000 Imaging guidance for procedure, 60 minutes or less	19	19	$25.00	$8.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$395.00	$191.52
53850 Destruction of prostate tissue using microwave induced heat	17	17	$3712.00	$1702.42
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$2252.00	$789.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$314.67	$112.25
93980 Ultrasound scan of penile arterial inflow and venous outflow	14	14	$321.00	$108.83
50590 Shock wave crushing of kidney stones	14	14	$1062.00	$506.53
54235 Injection procedure to induce erection	13	13	$111.00	$84.47
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$456.00	$225.50
76000 Imaging guidance for procedure, 60 minutes or less	13	11	$25.00	$8.28

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 28925

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License NY 171015-1

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001506716 (AL)

Hospital & Practice Group Affiliations

Baptist Health Centers Llc

1130 22nd St S, Birmingham, AL 352052881

Phone: 2057155943

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Mary Martin , CRNP

Nurse Practitioner

NPI 1598286072

Certified Registered Nurse Practitioner

Ashley Walker , NP

Nurse Practitioner

NPI 1811642002

Nurse Practitioner

Dr. Alan Mccool , MD

Urology

NPI 1811940679

Doctor of Medicine (M.D.)

Ashley Banks , CRNP

Nurse Practitioner

NPI 1902670151

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2013

Registered at 3400 HIGHWAY 78 E, 412, JASPER, AL 355018907 (Tel: 2053843013)

📍

Updated Business Mailing Address May 29, 2013

Registered at 3400 HWY 78 EAST, 412, JASPER, AL 35501 (Tel: 2053843013)

👤

Provider Name / Credentials Updated May 29, 2013

Recorded as BRIAN STONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

Specialist (License #28925 in AL)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558470823

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: May 29, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3400 Hwy 78 East, 412

Jasper, AL 35501

Phone: 2053843013

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.