DR. DEREK EDWARD STONE D.O.
NPI 1053526889
Family Medicine in Hilliard, OH
About Dr. Derek Edward Stone D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK EDWARD STONE D.O. (NPI 1053526889) is an individual family medicine provider in Hilliard, Ohio, licensed in Ohio (34009176) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Derek Edward Stone D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Derek Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHDoctors Hospital
Acute Care Hospitals · Columbus, OHDublin Methodist Hospital
Acute Care Hospitals · Dublin, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HILLIARD, OH 43026
HILLIARD, OH 43026
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 Derek Stone's NPI number?
The NPI number for Derek Stone is 1053526889. It was assigned to this individual provider in the NPPES registry on May 14, 2007.
Where is Derek Stone located?
Derek Stone practices at 4343 All Seasons Dr Ste 220, Hilliard, OH 43026. The listed phone number is (614) 544-1100.
What is Derek Stone's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derek Stone enrolled in Medicare?
Yes. Derek 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.
Which organization bills Medicare for Derek Stone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Stone reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). 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 Derek Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Stone accept?
Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Derek 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 Derek Stone affiliated with any hospitals?
According to CMS data, Derek Stone is affiliated with Riverside Methodist Hospital, Doctors Hospital and Dublin Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Derek Stone was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Derek Edward Stone, D.O. · NPI 1053526889
Family Medicine physician in Hilliard, Ohio. Individual provider, active in the CMS NPPES registry since May 14, 2007.
## Identity
- **NPI:** 1053526889 (Entity type: Individual)
- **Enumerated:** May 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34009176 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4343 ALL SEASONS DR, STE 220, Hilliard, OH 43026-1961
- **Phone:** (614) 544-1100 · **Fax:** (614) 544-1101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ohiohealth Corporation (NPI 1578545273, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2005
## Record status
- **NPPES last updated:** January 25, 2022
- **Other identifiers:** Medicaid 2870522 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1053526889) · Data from the CMS NPPES public registry.