Active NPI 1437520673 Individual Practitioner Female Practitioner

Lora Stone , NP-C

Nurse Practitioner • South Shore, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lora Stone, NP-C is a certified Nurse Practitioner practicing in South Shore, KY. With approximately 11 years of clinical experience since graduating from Ohio State University College Of Medicine in 2015, Lora Stone delivers high-quality medical care to the local community at 5129 STATE ROUTE 7.

Lora Stone maintains professional affiliations with Extended Care Specialists, Inc, Eventus Wholehealth Midwest Inc, Eventus Ecs, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, established 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

5129 State Route 7

South Shore, KY 411758828

Telephone 6064655866

Associated Practice Facility / Clinic

🏢 Southern Ohio Surgical Associates, Inc. Facility NPI 1528050945

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in South Shore, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -0.3 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

5 Specialists

Practicing in South Shore, KY (1865 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stone (11 Years) 11 Yrs

South Shore Specialty Average (11.3 Years) 11.3 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
99285 Emergency department visit for life threatening or functioning severity	116	112	$1626.00	$145.66
99284 Emergency department visit with moderate level of medical decision making	85	79	$1093.00	$100.37
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$81.75	$53.11
99283 Emergency department visit with low level of medical decision making	12	12	$734.00	$59.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	150	140	$1626.00	$145.91
99284 Emergency department visit with moderate level of medical decision making	124	121	$1093.00	$99.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	238	233	$1602.43	$148.73
99284 Emergency department visit with moderate level of medical decision making	84	83	$1081.83	$102.23
99283 Emergency department visit with low level of medical decision making	49	49	$717.35	$60.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	226	222	$1516.00	$155.33
99284 Emergency department visit with moderate level of medical decision making	77	76	$1026.00	$106.06
99283 Emergency department visit with low level of medical decision making	43	42	$683.00	$62.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	106	106	$1516.00	$149.14
99284 Emergency department visit with moderate level of medical decision making	98	96	$1026.00	$102.35
99283 Emergency department visit with low level of medical decision making	48	47	$683.00	$55.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	145	140	$1027.72	$99.05
99283 Emergency department visit with low level of medical decision making	101	92	$683.00	$51.65
99285 Emergency department visit for life threatening or functioning severity	85	85	$1519.91	$145.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	165	158	$1026.50	$94.95
99283 Emergency department visit with low level of medical decision making	109	102	$683.76	$50.92
99285 Emergency department visit for life threatening or functioning severity	26	26	$1519.19	$142.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$620.00	$62.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	128	127	$875.19	$96.65
99283 Emergency department visit with low level of medical decision making	120	116	$489.63	$51.90
99285 Emergency department visit for life threatening or functioning severity	38	38	$1290.00	$141.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$584.00	$65.19

Medical Specialties & State Licenses

CMS Verified: 2023-11-01

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH F0915410

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1437520673 (WV)

Medicaid State Provider ID

7100446890 (KY)

Medicaid State Provider ID

0189896 (OH)

Hospital & Practice Group Affiliations

Eventus Ecs, Inc

306 W Main St, Frankfort, KY 406011840

Phone: 8557432247

Eventus Wholehealth Midwest Inc

3958 Brown Park Dr, Hilliard, OH 430261160

Phone: 2604839081

Eventus Ecs, Inc

4400 Easton Cmns, Columbus, OH 432196223

Phone: 8557432247

Extended Care Specialists, Inc

3958 Brown Park Dr, Hilliard, OH 430261160

Phone: 2604839081

Eventus Wholehealth Midwest Inc

828 Lane Allen Rd, Lexington, KY 405043659

Phone: 2604839081

Extended Care Specialists, Inc

828 Lane Allen Rd, Lexington, KY 405043659

Phone: 2604839081

Secondary Practice Locations

1711 27th St, Braunlin Building Suite 306

Portsmouth, OH 456622654

Phone: 7403538661

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location November 01, 2023

Registered at 5129 STATE ROUTE 7, SOUTH SHORE, KY 411758828 (Tel: 6064655866)

✅

NPI Profile Active October 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2015

Registered at 1711 27TH ST, BRAUNLIN BUILDING SUITE 306, PORTSMOUTH, OH 456622654 (Tel: 7403538661)

📍

Updated Business Mailing Address October 14, 2015

Registered at 1711 27TH ST, BRAUNLIN BUILDING SUITE 306, PORTSMOUTH, OH 456622654 (Tel: 7403538661)

👤

Provider Name / Credentials Updated October 14, 2015

Recorded as LORA STONE, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2015

Nurse Practitioner (License #F0915410 in OH)

🟢

Initial NPI Registration & Enumeration October 14, 2015

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: 1437520673

Entity Type:

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

Enumeration Date: October 14, 2015

Last Update: November 01, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1711 27th St, Braunlin Building Suite 306

Portsmouth, OH 456622654

Phone: 7403538661

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.