Active NPI 1780790444 Individual Practitioner Male Practitioner

Dr. Richard A Stone , MD

Surgery • Irvine, KY

Professional Overview & Biography Verified Profile Summary

Dr. Richard Stone, MD is a registered healthcare professional specializing in Surgery in Irvine, KY. Practice services are available at 60 MERCY CT under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

60 Mercy Ct

Irvine, KY 403361331

Telephone 6067266540

Fax 6067234364

Associated Practice Facility / Clinic

🏢 Mercy Health-Marcum & Wallace Hospital Llc Facility NPI 1285632109

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Irvine, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Irvine, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$109.00	$69.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$450.00	$100.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	69	$66.00	$41.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$246.00	$154.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$450.00	$80.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$159.00	$101.72
45380 Biopsy of large bowel using an endoscope	29	29	$625.00	$197.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$198.00	$131.16
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$850.00	$239.05
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$481.00	$181.71
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$109.00	$69.28
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$360.00	$180.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	74	$66.00	$38.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$246.00	$147.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	45	$450.00	$94.84
45380 Biopsy of large bowel using an endoscope	27	27	$625.00	$182.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$198.00	$124.94
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$465.00	$173.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$360.00	$172.57
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$109.00	$65.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$161.00	$96.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$159.00	$96.22
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$360.00	$172.23
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$146.00	$92.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	94	$66.00	$38.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$246.00	$148.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	57	57	$450.00	$82.11
45380 Biopsy of large bowel using an endoscope	41	40	$625.00	$182.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$356.00	$175.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$198.00	$126.80
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$465.00	$175.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$159.00	$97.38
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$109.00	$65.88
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$146.00	$93.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$161.00	$97.28

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 26876

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64268766 (KY)

Commercial Insurance / Payer ID Anthem

000000050184 (KY)

Commercial Insurance / Payer ID Aetna

4329908 (KY)

Commercial Insurance / Payer ID Us Department Of Labor

021113600 (KY)

Commercial Insurance / Payer ID Us Dept Of Labor

163843500 (KY)

Commercial Insurance / Payer ID Palmetto, Gba

020008943

Commercial Insurance / Payer ID Passport Health

1026107 (KY)

Commercial Insurance / Payer ID United Healthcare

8592603606 (KY)

Commercial Insurance / Payer ID Pgba, Llc

K007579 (KY)

Commercial Insurance / Payer ID Railroad Medicare

020008943

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Shawn Rice , DO

Emergency Medicine

NPI 1013115302

Doctor of Osteopathic Medicine (D.O.)

Jerrica Brandenburg , LPCA, CADC

Counselor - Mental Health

NPI 1093450496

LPCA, Certified Alcohol and Drug Counselor

Myrissa Grose , MSW, CSW

Social Worker - School

NPI 1174220479

Master of Social Work, Clinical Social Worker

Dr. Lisa Patton , PharmD

Pharmacist

NPI 1508035833

Doctor of Pharmacy (Pharm.D.)

Trevor Hylton

Pharmacist

NPI 1538046321

Laura Dennis , RD

Dietitian, Registered

NPI 1639406200

Registered Dietitian

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 11, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 11, 2017

Registered at 2200 JEFFERSON AVE, 5TH FLOOR MERCY PHO/CVO, TOLEDO, OH 436047101 (Tel: 4192519830)

📍

Updated Practice Location January 11, 2017

Registered at 60 MERCY CT, IRVINE, KY 403361331 (Tel: 6067266540)

👤

Provider Name / Credentials Updated January 11, 2017

Recorded as RICHARD STONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2017

Surgery (License #26876 in KY)

✅

NPI Profile Active November 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2016

Registered at 60 MERCY CT, IRVINE, KY 403361331 (Tel: 6067266540)

📍

Updated Business Mailing Address November 29, 2016

Registered at PO BOX 636544, CINCINNATI, OH 452636544 (Tel: 5139815130)

👤

Provider Name / Credentials Updated November 29, 2016

Recorded as RICHARD STONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2016

Surgery (License #26876 in KY)

🟢

Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780790444

Entity Type:

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

Enumeration Date: August 22, 2006

Last Update: January 11, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Jefferson Ave, 5th Floor Mercy Pho/cvo

Toledo, OH 436047101

Phone: 4192519830

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.