Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MONICA ANN STONE M.D.
NPI 1093721078
General Practice in Campbellsville, KY

Active since July 31, 2006PECOS Enrolled
58.71/100
CMS Quality Rating
95 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718(270) 465-3561 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2025, Jul 6, 2021, Nov 6, 2018 (3 updates tracked since 2018).

About Dr. Monica Ann Stone M.d. NPPES

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

DR. MONICA ANN STONE M.D. (NPI 1093721078) is an individual general practice provider in Campbellsville, Kentucky, licensed in Kentucky (36979) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains a secondary practice location in Greensburg.

NPPES Registry Identity

NPI1093721078
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MONICA ANN STONECredential: M.D.
Location Address95 KINGSWOOD DRCampbellsville, KY 42718-9604
Mailing Address1698 Old Lebanon RdCampbellsville, KY 42718-3319 · (270) 789-6087
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1997
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1093721078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 36979
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 30373 (SC), ME97258 (FL), 36979 (KY)
95 KINGSWOOD DR, Campbellsville, KY 42718

Other Names 1

Professional Name (2)Dr. Monica Ann Stone M.d.

Secondary Practice Location 1

Location 1462 Commerce DriveGreensburg, KY 42743 · Phone (270) 932-2424 · Fax (270) 932-2522

Other Identifiers 1

Medicaid64048895KY

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. Monica Ann Stone M.d. 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 ID4284731910
PECOS Enrollment IDI20110603000422
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 Reassignments

2

Medicare enrollment records show Monica Stone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
67 KINGSWOOD DR
Campbellsville, KY 42718
  • Reassigned Medicare billing, Kentucky enrollment
  • 31 clinicians in this Medicare group
Internal Medicine
215 CENTRAL AVE STE 110
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 27 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

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Jane Todd Crawford Hospital

Critical Access Hospitals · Greensburg, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181325
Location290 Industrial Park RoadGreensburg, KY 42743 · Green County
Emergency services

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.

58.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.44
Improvement Activities40

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
6 suppliers30 claims59 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers22 claims32 services$1.04 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers15 claims30 services$53.45 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers12 claims72 services$23.97 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$42.64 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 9

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

Family Medicine
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Nurse Practitioner (Family)
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Emergency Medicine
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Internal Medicine
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Nurse Practitioner (Family)
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Internal Medicine
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Internal Medicine
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718
Internal Medicine
95 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718

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 Monica Stone's NPI number?

The NPI number for Monica Stone is 1093721078. It was assigned to this individual provider in the NPPES registry on July 31, 2006. The provider is also known as Dr. Monica Ann Stone M.D..

Where is Monica Stone located?

Monica Stone practices at 95 Kingswood Dr, Campbellsville, KY 42718. The listed phone number is (270) 465-3561.

What is Monica Stone's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Monica Stone enrolled in Medicare?

Yes. Monica 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 organizations bill Medicare for Monica Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Stone reassigns Medicare benefits to 2 organizations: Taylor Regional Medical Group, LLC (Campbellsville, KY) and University Of Louisville Research Foundation, Inc (Louisville, KY). Each 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 Monica Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Stone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Monica 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 Monica Stone affiliated with any hospitals?

According to CMS data, Monica Stone is affiliated with Baptist Health Hardin, Taylor Regional Hospital and Jane Todd Crawford Hospital.

When was this NPI record last updated?

The NPPES record for Monica Stone was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.