Active NPI 1538269006 Individual Practitioner Male Practitioner

Dr. Addison T Stone , MD

Orthopaedic Surgery • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Addison Stone, MD is a certified Orthopaedic Surgery practicing in Seattle, WA. With approximately 22 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2004, Dr. Stone delivers high-quality medical care to the local community at 901 BOREN AVE.

Dr. Stone is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 Boren Ave
Suite 800

Seattle, WA 981043534

Telephone 2063231900

Fax 2063236868

Associated Practice Facility / Clinic

🏢 Wyatt T. Lee Dds Pllc Facility NPI 1154302495

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +0.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

154 Specialists

Practicing in Seattle, WA (707 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stone (22 Years) 22 Yrs

Seattle Specialty Average (21.1 Years) 21.1 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	77	$345.12	$195.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$252.17	$140.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$365.96	$182.05
72110 X-ray of lower and sacral spine, minimum of 4 views	21	21	$133.24	$60.45
72148 MRI scan of lower spinal canal	17	17	$1307.47	$150.81
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	15	15	$4265.07	$1190.06
72100 X-ray of lower and sacral spine, 2-3 views	13	12	$90.69	$43.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	80	$340.00	$195.57
72148 MRI scan of lower spinal canal	40	39	$1280.17	$160.78
72100 X-ray of lower and sacral spine, 2-3 views	25	22	$92.44	$45.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$249.00	$140.17
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	18	18	$4012.00	$1115.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$361.00	$181.77
72141 MRI scan of upper spinal canal	17	17	$1223.88	$158.97
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	13	$826.00	$268.17
63056 Release of lower spinal cord and/or nerves	13	13	$4157.00	$1346.95
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$134.00	$60.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	85	$340.00	$198.27
72148 MRI scan of lower spinal canal	52	49	$1275.52	$163.89
72100 X-ray of lower and sacral spine, 2-3 views	40	27	$93.40	$46.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$249.00	$140.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$361.00	$177.85
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	30	29	$4012.00	$1319.62
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$134.00	$60.95
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$175.00	$97.98
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	19	$826.00	$270.15
63056 Release of lower spinal cord and/or nerves	22	21	$4157.00	$1125.85
72141 MRI scan of upper spinal canal	15	15	$1219.00	$153.81
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	14	12	$4713.43	$1469.93
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$2245.00	$794.51
63035 Partial removal of bone with release of spinal cord or spinal nerves in upper or lower spine	12	11	$860.00	$298.67
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$4664.00	$818.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	102	$314.29	$200.23
72148 MRI scan of lower spinal canal	64	64	$1344.06	$170.59
72110 X-ray of lower and sacral spine, minimum of 4 views	49	49	$134.00	$58.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$224.43	$144.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$342.82	$181.71
72100 X-ray of lower and sacral spine, 2-3 views	42	34	$95.00	$45.02
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	37	37	$4011.95	$1156.33
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$152.70	$99.13
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	24	$825.75	$217.23
63056 Release of lower spinal cord and/or nerves	30	30	$4156.97	$1274.75
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$3352.91	$626.14
63035 Partial removal of bone with release of spinal cord or spinal nerves in upper or lower spine	20	15	$845.60	$282.21
72141 MRI scan of upper spinal canal	19	19	$1227.74	$125.76
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$4663.54	$529.23
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	13	13	$4371.00	$1265.63
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	13	$2244.77	$651.57
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$5925.91	$1852.52

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	81	$214.00	$119.94
99213 Established patient office or other outpatient visit, typically 15 minutes	76	60	$143.00	$81.22
72148 MRI scan of lower spinal canal	48	46	$1293.63	$173.07
72100 X-ray of lower and sacral spine, 2-3 views	46	35	$93.61	$43.01
72110 X-ray of lower and sacral spine, minimum of 4 views	33	33	$134.00	$55.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$290.00	$160.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$329.00	$172.36
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	23	23	$3779.30	$1155.38
63056 Release of lower spinal cord and/or nerves	23	21	$4157.00	$1292.75
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	19	$826.00	$281.29
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	21	$3352.95	$779.40
72050 X-ray of upper spine, 4 or 5 views	15	14	$128.00	$58.19
63048 Partial removal of spine bone with release of spinal cord and/or nerves	14	11	$611.93	$193.77
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$4664.00	$872.00

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	87	79	$214.00	$117.95
99213 Established patient office or other outpatient visit, typically 15 minutes	80	63	$143.00	$80.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	56	$290.00	$153.32
72110 X-ray of lower and sacral spine, minimum of 4 views	52	51	$126.92	$54.22
72100 X-ray of lower and sacral spine, 2-3 views	46	33	$88.04	$36.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$329.00	$170.28
72148 MRI scan of lower spinal canal	34	33	$1267.91	$167.86
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	27	27	$3962.44	$1341.53
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	20	$826.00	$280.84
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	25	$3353.00	$771.74
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	17	$612.00	$229.50
63056 Release of lower spinal cord and/or nerves	21	20	$4157.00	$1402.57
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$2245.00	$826.01
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	14	14	$4320.64	$1518.75
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$5926.00	$2020.74
72141 MRI scan of upper spinal canal	11	11	$1234.09	$157.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	81	$287.29	$155.21
99213 Established patient office or other outpatient visit, typically 15 minutes	78	63	$141.72	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$212.19	$115.12
72148 MRI scan of lower spinal canal	46	45	$1282.15	$177.00
72100 X-ray of lower and sacral spine, 2-3 views	37	26	$90.62	$36.21
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	25	25	$3715.44	$1354.20
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	$412.50	$214.15
72114 X-ray lower and sacral spine, minimum of 6 views	18	18	$172.33	$69.14
72110 X-ray of lower and sacral spine, minimum of 4 views	18	18	$133.72	$54.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$326.94	$176.90
63035 Partial removal of bone with release of spinal cord or spinal nerves in upper or lower spine	15	12	$824.13	$302.49
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3296.50	$1049.07
72050 X-ray of upper spine, 4 or 5 views	11	11	$127.64	$50.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$138.00	$78.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	75	$207.00	$111.22
72100 X-ray of lower and sacral spine, 2-3 views	57	38	$85.47	$34.50
72148 MRI scan of lower spinal canal	47	47	$1305.51	$165.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	41	$280.00	$154.29
72114 X-ray lower and sacral spine, minimum of 6 views	29	29	$168.00	$69.36
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$129.00	$54.26
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	17	$798.00	$263.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$318.00	$174.30
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	19	$3672.00	$1285.69
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$2169.00	$761.83
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$5726.00	$1945.26
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	$402.00	$218.82

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD60137857

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License WA ML20008136

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License WA MD60137857

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

751 Ne Blakely Dr, Issaquah, WA 980296201

Phone: 2066230922

Proliance Surgeons Inc P S

12911 120th Ave Ne, Kirkland, WA 980343062

Phone: 4258234226

Proliance Surgeons Inc P S

751 Ne Blakely Dr, Issaquah, WA 980296201

Phone: 4253135422

Proliance Surgeons Inc P S

12911 120th Ave Ne, Kirkland, WA 980343065

Phone: 4258234000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Maxine Weyant , MD

Family Medicine - Sports Medicine

NPI 1063563229

Doctor of Medicine (M.D.)

Jeanine Godec , PA-C

Physician Assistant - Medical

NPI 1144262676

Physician Assistant (Certified)

Dr. Samuel Koo , MD, MPH

Orthopaedic Surgery

NPI 1467626374

Doctor of Medicine (M.D.), Master of Public Health

Claudia Kalotay , PA-C

Physician Assistant - Surgical

NPI 1528007069

Physician Assistant (Certified)

Dr. Mary Cunningham , MD

Orthopaedic Surgery

NPI 1528173424

Doctor of Medicine (M.D.)

Todd Miller , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1558686766

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2012

Registered at 901 BOREN AVE, SUITE 800, SEATTLE, WA 981043534 (Tel: 2063231900)

📍

Updated Business Mailing Address December 31, 2012

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated December 31, 2012

Recorded as ADDISON STONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2012

Orthopaedic Surgery (License #MD60137857 in WA)

🟢

Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Addison Stone. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1538269006

Entity Type:

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

Enumeration Date: September 25, 2006

Last Update: December 31, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

805 Madison St, Suite 901

Seattle, WA 981041172

Phone: 2062648100

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.