Active NPI 1619031838 Individual Practitioner Male Practitioner

Dr. Mark R Stone , MD

Internal Medicine - Hematology • Newberg, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Stone, MD is a certified Internal Medicine - Hematology practicing in Newberg, OR. With approximately 30 years of clinical experience since graduating from University Of California, Irvine, California College Of Medicine in 1996, Dr. Stone delivers high-quality medical care to the local community at 1000 N PROVIDENCE DR STE 310.

Dr. Stone maintains professional affiliations with Providence Health And Services - Oregon, Providence Health And Services Oregon and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, 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

1000 N Providence Dr Ste 310

Newberg, OR 971327582

Telephone 5035376040

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Oregon Facility NPI 1598904393

Medicare Profile & Education

Medical School

University Of California, Irvine, California College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Hematology in Newberg, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Newberg, OR (31 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stone (30 Years) 30 Yrs

Newberg Specialty Average (30.0 Years) 30.0 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
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	204	64	$54.96	$15.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	66	$435.00	$92.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	48	$612.00	$135.72
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$308.81	$62.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$290.00	$92.86
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$197.00	$65.18
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	$748.00	$172.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$567.00	$126.80

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	123	71	$282.81	$97.77
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$189.64	$66.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	25	$419.41	$143.68
99443 Telephone medical discussion with physician, 21-30 minutes	24	20	$337.33	$97.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$383.90	$133.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$517.95	$180.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$232.57	$82.47

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	88	51	$261.76	$99.30
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$175.96	$67.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	26	$389.00	$146.80
99443 Telephone medical discussion with physician, 21-30 minutes	34	30	$338.21	$99.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$483.00	$184.50
99358 Prolonged patient service without direct patient contact first hour	19	15	$272.53	$111.10
99442 Telephone medical discussion with physician, 11-20 minutes	19	12	$241.11	$67.31
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$169.00	$67.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$361.50	$135.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$220.31	$83.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$176.00	$67.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$252.00	$97.07

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	111	48	$231.41	$100.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	25	$227.65	$102.56
99213 Established patient office or other outpatient visit, typically 15 minutes	48	35	$155.54	$69.33
99443 Telephone medical discussion with physician, 21-30 minutes	41	23	$297.90	$102.62
99442 Telephone medical discussion with physician, 11-20 minutes	41	29	$208.90	$69.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	25	$340.08	$150.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	19	$312.00	$151.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$455.25	$184.23
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$151.19	$69.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$457.00	$189.57

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	95	39	$202.45	$80.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	26	$205.63	$81.46
99442 Telephone medical discussion with physician, 11-20 minutes	53	30	$161.64	$52.65
99213 Established patient office or other outpatient visit, typically 15 minutes	45	30	$131.40	$51.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$448.61	$173.92
99443 Telephone medical discussion with physician, 21-30 minutes	22	13	$237.41	$81.07

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	236	65	$235.61	$79.43
99213 Established patient office or other outpatient visit, typically 15 minutes	145	73	$144.79	$50.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$179.33	$76.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$397.50	$170.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	73	$186.51	$51.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	48	$296.71	$79.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$589.00	$170.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$468.00	$131.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	183	82	$205.00	$49.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	47	$307.00	$76.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	11	$123.00	$24.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$589.00	$164.44

Medical Specialties & State Licenses

CMS Verified: 2024-05-06

Internal Medicine - Hematology Primary Specialty

NUCC Taxonomy Code: 207RH0000X

State License OR MD24415

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Internal Medicine - Hematology & Oncology

NUCC Taxonomy Code: 207RH0003X

State License OR MD24415

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Internal Medicine - Medical Oncology

NUCC Taxonomy Code: 207RX0202X

State License OR MD24415

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

227287 (OR)

Hospital & Practice Group Affiliations

Providence Health And Services Oregon

1000 N Providence Dr, Newberg, OR 971327582

Phone: 5035376040

Providence Health And Services - Oregon

1001 N Providence Dr, Newberg, OR 971327485

Phone: 5035371555

Secondary Practice Locations

364 Se 8th Ave, Suite 108-A

Hillsboro, OR 971234253

Phone: 5036403687

Practice Associates & Co-Workers

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

6 Associated Practitioners

Darlene Corral , LCSW, LICSW

Social Worker - Clinical

NPI 1285567834

Licensed Clinical Social Worker, Licensed Independent Clinical Social Worker

Dr. Christine Johnson , MD

Internal Medicine - Medical Oncology

NPI 1508070046

Doctor of Medicine (M.D.)

Dr. Kelly Perlewitz , MD

Internal Medicine - Medical Oncology

NPI 1508086067

Doctor of Medicine (M.D.)

Laurel Tor , FNP

Nurse Practitioner - Family

NPI 1649636648

Family Nurse Practitioner

Kayleigh Flint

Pharmacist - Oncology

NPI 1700742921

Kirsten Johansson , NP, FNP

Nurse Practitioner - Family

NPI 1780025890

Nurse Practitioner, Family Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 06, 2024

Registered at 1000 N PROVIDENCE DR STE 310, NEWBERG, OR 971327582 (Tel: 5035376040)

📍

Updated Business Mailing Address May 06, 2024

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

✅

NPI Profile Active January 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2013

Registered at 364 SE 8TH AVE, SUITE 108-A, HILLSBORO, OR 971234253 (Tel: 5036403687)

📍

Updated Business Mailing Address January 29, 2013

Registered at 364 SE 8TH AVE, SUITE 108-A, HILLSBORO, OR 971234253 (Tel: 5036403687)

👤

Provider Name / Credentials Updated January 29, 2013

Recorded as MARK STONE, M.D.

🎓

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

Internal Medicine (License #MD24415 in OR)

🟢

Initial NPI Registration & Enumeration December 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619031838

Entity Type:

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

Enumeration Date: December 21, 2006

Last Update: May 06, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032156494

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.