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MR. JAMIE HUGH STONE M.D.
NPI 1134563166
Internal Medicine in Niles, MI

Active since April 21, 2013PECOS Enrolled
1915 HIGH MDW N, NILES, MI 49120(574) 387-7616 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Jun 21, 2021, May 28, 2021 (3 updates tracked since 2021).

About Mr. Jamie Hugh Stone M.d. NPPES

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

MR. JAMIE HUGH STONE M.D. (NPI 1134563166) is an individual internal medicine provider in Niles, Michigan, licensed in Indiana (01076696A) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134563166
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JAMIE HUGH STONECredential: M.D.
Location Address1915 HIGH MDW NNiles, MI 49120-8668
Mailing Address1915 High Mdw NNiles, MI 49120-8668 · (574) 387-7616
Phone(574) 387-7616
Sole ProprietorNo
Enumeration DateApril 21, 2013
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1134563166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01076696A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1915 HIGH MDW N, Niles, MI 49120
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Secondary Practice Locations 2

Location 1211 N Eddy StSouth Bend, IN 46617-3096 · Phone (574) 234-8161
Location 25838 W Brick Rd, Ste 106South Bend, IN 46628-8423 · Phone (574) 247-1911 · Fax (574) 247-1912

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jamie Hugh Stone M.d. 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 Reassignments

2

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

Vpa PC
2.7 mi
Family Medicine
5838 W BRICK RD STE 106
South Bend, IN 46628
  • Reassigned Medicare billing, Indiana enrollment
  • 110 clinicians in this Medicare group
NPI 1720605884 (574) 247-1911
The South Bend Clinic LLC
6.5 mi
Clinic/Center
211 N EDDY ST
South Bend, IN 46617
  • Reassigned Medicare billing, Indiana enrollment
  • 211 clinicians in this Medicare group
NPI 1073680419 (574) 299-2450

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 49120 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

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
3 suppliers11 claims11 services$84.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$213.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jamie Stone's NPI number?

The NPI number for Jamie Stone is 1134563166. It was assigned to this individual provider in the NPPES registry on April 21, 2013.

Where is Jamie Stone located?

Jamie Stone practices at 1915 High Mdw N, Niles, MI 49120. The listed phone number is (574) 387-7616.

What is Jamie Stone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jamie Stone enrolled in Medicare?

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

Which organizations bill Medicare for Jamie Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Stone reassigns Medicare benefits to 2 organizations: Vpa PC (South Bend, IN) and The South Bend Clinic LLC (South Bend, IN). 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 Jamie Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Stone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Jamie 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 Jamie Stone was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.