Active NPI 1215035068 Individual Practitioner Male Practitioner

Dr. Kenneth D Stone , MD

Orthopaedic Surgery • Marshfield, WI

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Stone, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Marshfield, WI. Practice services are available at 1000 N OAK AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, replacement of knee joint, both sides of knee, removal of fingernails or toenails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 N Oak Ave

Marshfield, WI 54449

Telephone 7153879227

Associated Practice Facility / Clinic

🏢 Marshfield Clinic Inc Facility NPI 1952347981

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Marshfield, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Marshfield, WI (688 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.2% 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 (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	45	38	$295.70	$90.39
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$178.44	$61.21
27447 Replacement of knee joint, both sides of knee	28	26	$16452.81	$1153.35
11721 Removal of fingernails or toenails, 6 or more nails	19	16	$253.80	$21.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$424.81	$133.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$479.80	$122.67

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	54	48	$279.10	$93.15
99213 Established patient office or other outpatient visit, typically 15 minutes	51	46	$166.65	$62.93
27447 Replacement of knee joint, both sides of knee	24	23	$15199.19	$1185.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$116.63	$33.77
27130 Replacement of thigh bone and hip joint with prosthesis	16	15	$15591.11	$1186.96
11721 Removal of fingernails or toenails, 6 or more nails	14	14	$244.05	$22.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$455.63	$126.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$320.54	$78.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	69	$162.76	$64.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$242.87	$95.02
27447 Replacement of knee joint, both sides of knee	23	21	$14338.50	$1195.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$108.98	$34.54
20610 Aspiration and/or injection of fluid from large joint	20	18	$499.69	$43.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$307.59	$79.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$444.85	$129.12
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$14722.02	$1191.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	110	$156.01	$64.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$313.35	$80.06
27447 Replacement of knee joint, both sides of knee	23	23	$13961.74	$1181.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$104.78	$34.76
20610 Aspiration and/or injection of fluid from large joint	19	17	$598.78	$47.62
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$199.70	$88.67
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$13830.13	$1208.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	106	$146.25	$49.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$238.69	$72.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$219.12	$76.14
27447 Replacement of knee joint, both sides of knee	19	19	$13738.62	$1292.44
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$13398.97	$1283.19
20610 Aspiration and/or injection of fluid from large joint	15	15	$543.05	$48.01
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$194.37	$72.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	129	$141.17	$48.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$215.22	$74.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$219.54	$73.21
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$186.54	$71.98
27447 Replacement of knee joint, both sides of knee	29	28	$12679.84	$1289.40
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$12796.76	$1293.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$96.78	$24.67
20610 Aspiration and/or injection of fluid from large joint	17	15	$492.85	$45.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	69	$178.23	$68.84
99213 Established patient office or other outpatient visit, typically 15 minutes	63	60	$136.88	$48.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$217.17	$72.60
27447 Replacement of knee joint, both sides of knee	30	29	$12649.93	$1182.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$299.56	$96.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$271.70	$103.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$213.60	$70.40
20610 Aspiration and/or injection of fluid from large joint	18	18	$557.06	$58.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$124.71	$42.05
J1040 Injection, methylprednisolone acetate, 80 mg	15	14	$40.88	$12.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$99.40	$24.31
20610 Aspiration and/or injection of fluid from large joint	13	13	$460.63	$40.34
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$12271.09	$1284.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	171	$162.68	$69.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$249.27	$99.01
J1040 Injection, methylprednisolone acetate, 80 mg	47	31	$33.19	$10.88
20610 Aspiration and/or injection of fluid from large joint	44	34	$570.89	$59.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$277.55	$95.62
27447 Replacement of knee joint, both sides of knee	22	20	$11197.67	$1286.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$113.70	$39.52
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$11142.21	$1299.87

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 40382

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32479400 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alison Sampson , DO

Obstetrics & Gynecology

NPI 1003038381

Doctor of Osteopathic Medicine (D.O.)

Tamara Leahy , NP

Nurse Practitioner

NPI 1003190018

Nurse Practitioner

Samantha Moore , RD, CD, CDCES

Dietitian, Registered

NPI 1003191297

Registered Dietitian, CD, Certified Diabetes Care and Education Specialist

Eugene Larson , PA

Physician Assistant

NPI 1003904087

Physician Assistant

Dr. Stuart Tipping , MD

Internal Medicine - Medical Oncology

NPI 1003925124

Doctor of Medicine (M.D.)

James Skibba , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013004761

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 54449 (Tel: 7153879227)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495777

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH STONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #40382 in WI)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215035068

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 N Oak Ave

Marshfield, WI 544495777

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.