ZACHARY STONE
NPI 1043771066
Pediatrics in Prosper, TX

Active since March 31, 2019PECOS Enrolled
940 S LEGACY DR STE 20, PROSPER, TX 75078(214) 389-8801 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Zachary Stone NPPES

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

ZACHARY STONE (NPI 1043771066) is an individual pediatrics provider in Prosper, Texas, licensed in Texas (T0009) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1043771066
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameZACHARY STONE
Location Address940 S LEGACY DR STE 20Prosper, TX 75078-2940
Mailing Address1935 Medical District DrDallas, TX 75235-7701
Sole ProprietorNo
Enumeration DateMarch 31, 2019
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1043771066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · T0009
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
940 S LEGACY DR STE 20, Prosper, TX 75078

Secondary Practice Location 1

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (844) 424-4537

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Stone is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Zachary Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75078 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

Pediatrics
940 S LEGACY DR STE 20
PROSPER, TX 75078

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 Zachary Stone's NPI number?

The NPI number for Zachary Stone is 1043771066. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Zachary Stone located?

Zachary Stone practices at 940 S Legacy Dr Ste 20, Prosper, TX 75078. The listed phone number is (214) 389-8801.

What is Zachary Stone's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Zachary Stone enrolled in Medicare?

Yes. Zachary Stone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Zachary Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Stone reassigns Medicare benefits to Dallas Physician Medical Services For Children Inc (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Stone accept?

Health plans from Baylor Scott and White Health Plan, UnitedHealthcare and WellPoint list Zachary 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.

When was this NPI record last updated?

The NPPES record for Zachary Stone was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.