JENNIFER LYNN STONE M.D. NPI 1003010307

Family Medicine in Roanoke Rapids, NC

NPI 1003010307 Individual Female Years of Experience 18 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JENNIFER STONE

Jennifer Stone is a primary care provider established in Roanoke Rapids, North Carolina and her medical specialization is family medicine with more than 18 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2004. The NPI number of Jennifer Stone is 1003010307 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 2007-00575 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.

A primary care provider (PCP) like Jennifer Lynn Stone M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jennifer Stone is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jennifer Stone is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Halifax Regional Medical Center Inc.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, cervical cancer screening, chronic care and preventative care management for empaneled patients, colorectal cancer screening, depression utilization of the phq-9 tool, depression utilization of the phq-9 tool, depression utilization of the phq-9 tool, diabetes: eye exam, e-prescribing, health information exchange, immunization registry reporting, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, preventive care and screening: influenza immunization, provide patient access, secure messaging, security risk analysis, specialized registry reporting, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003010307

Provider Name JENNIFER LYNN STONE M.D.
Provider Location Address1385 MEDICAL CENTER DR ROANOKE RAPIDS, NC 27870
Provider Mailing Address2925 SYDNEY ST JACKSONVILLE, FL 32205
GenderFemale
NPI Entity TypeIndividual
Medical School NameEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year2004
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-12-2007
Last Update Date02-11-2021


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.2007-00575
License StateNC
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

JENNIFER LYNN STONE M.D.
1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC
ZIP 27870
Phone: (252) 537-9176
Fax: (252) 537-6851

Get Directions


Mailing Address

JENNIFER LYNN STONE M.D.
2925 SYDNEY ST
JACKSONVILLE, FL
ZIP 32205
Phone: (336) 420-4028
Fax: (252) 537-6851



Secondary Locations

1570 Island Ln
Orange Park, FL 32003
(904) 264-1204

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6305993254
PECOS Enrollment IDI20120430000259
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 113Administration of pneumococcal vaccine (HCPCS:G0009)
  • 108Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 107Administration of influenza virus vaccine (HCPCS:G0008)
  • 81Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 58Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 49Automated urinalysis test (HCPCS:81003)
  • 49Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 14Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 12Hemoglobin A1C level (HCPCS:83036)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Breast Cancer Screening 85% 542
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Cervical Cancer Screening 68% 552
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years
Colorectal Cancer Screening 82% 792
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Depression Utilization of the PHQ-9 Tool 58% 67
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Depression Utilization of the PHQ-9 Tool 63% 48
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Depression Utilization of the PHQ-9 Tool 47% 60
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Diabetes: Eye Exam 51% 205
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
e-Prescribing 99% 9188
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 35% 1028
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 99% 545
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 88% 1502
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Influenza Immunization 39% 968
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Provide Patient Access 95% 1502
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 64% 1502
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 49% 1502
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Stone is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HALIFAX REGIONAL MEDICAL CENTER INC250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
(252) 535-8005Acute Care Hospitals340151

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineME111724FLNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366402406DR. JOHN JAY MYERS M.D.
Individual
Family Medicine1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176
1396706214 KENNETH ROBERT MD
Individual
Family Medicine1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176
1093832388 DIANA LYNN DILLARD FNP
Individual
Nurse Practitioner (Family)1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176
1104102540LABORATORY CORPORATION OF AMERICA HOLDINGS
Organization
Clinical Medical Laboratory1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(757) 621-7461
1720198369ROANOKE VALLEY HEALTH SERVICES INC
Organization
Clinic/Center (Rural Health)1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176
1689792830DR. MOHAMAD A SHAKIR M.D.
Individual
Family Medicine1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176
1174016828 KELLY W HARVEY FNP
Individual
Nurse Practitioner (Family)1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176
1235694076 JESSICA MARIE HASELMAN FNP
Individual
Nurse Practitioner1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176
1730138066 CHRISTIAN SORENSEN M.D.
Individual
Family Medicine1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC 27870
(252) 537-9176

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.