LEAH STONE
NPI 1013375484
Nurse Practitioner - Family in Lawrenceburg, TN

Active since February 01, 2016PECOS EnrolledAccepts Medicare Assignment
726 N LOCUST AVE, 1ST FL, STE D, LAWRENCEBURG, TN 38464(931) 766-7056(931) 766-7057 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leah Stone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH STONE (NPI 1013375484) is an individual family provider in Lawrenceburg, Tennessee, licensed in Tennessee (F0116375) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1013375484
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEAH STONE
Location Address726 N LOCUST AVE, 1ST FL, STE DLawrenceburg, TN 38464-2865
Mailing Address100 2nd Ave SLoretto, TN 38469-2120 · (931) 766-7065 · Fax (931) 766-7057
Fax(931) 766-7057
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 1, 2016
NPI 1013375484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · F0116375
726 N LOCUST AVE, Lawrenceburg, TN 38464

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leah Stone is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385930908
PECOS Enrollment IDI20180814002764
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services124 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
160 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
135 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services89 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
107 services27 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
72 services62 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%287 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims24 services$6.60 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims28 services$15.13 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers20 claims76 services$2.22 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers56 claims56 services$6.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$112.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
726 N LOCUST AVE, 2ND FLOOR SUITE D
LAWRENCEBURG, TN 38464
Nurse Practitioner (Family)
726 N LOCUST AVE, 1ST FLOOR SUITE D
LAWRENCEBURG, TN 38464
Nurse Practitioner
726 N LOCUST AVE
LAWRENCEBURG, TN 38464
Clinic/Center (Rural Health)
726 N LOCUST AVE, 1ST FLOOR SUITE D
LAWRENCEBURG, TN 38464
Nurse Practitioner (Family)
726 N LOCUST AVE
LAWRENCEBURG, TN 38464
Optometrist
726 N LOCUST AVE, STE 2D
LAWRENCEBURG, TN 38464
Pharmacy (Community/Retail Pharmacy)
726 N LOCUST AVE, SUITE C
LAWRENCEBURG, TN 38464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Stone's NPI number?

The NPI number for Leah Stone is 1013375484. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Leah Stone located?

Leah Stone practices at 726 N Locust Ave 1st Fl, Ste D, Lawrenceburg, TN 38464. The listed phone number is (931) 766-7056.

What is Leah Stone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leah Stone enrolled in Medicare?

Yes. Leah Stone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leah Stone accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 6 other insurers list Leah Stone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leah Stone affiliated with any hospitals?

According to CMS data, Leah Stone is affiliated with Maury Regional Hospital and Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Leah Stone was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.