DR. AUSTIN VINCENT STONE M.D., PH.D.
NPI 1245597780
Orthopaedic Surgery - Sports Medicine in Lexington, KY

Q: What is Austin Stone's NPI number?

The NPI number for Austin Stone is 1245597780. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Q: What is Austin Stone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Austin Stone was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

740 SOUTH LIMESTONE, SUITE K401, LEXINGTON, KY 40356(859) 323-5533(859) 323-2412 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2019, Aug 9, 2018, Jun 12, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Austin Vincent Stone M.d., Ph.d. NPPES

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

DR. AUSTIN VINCENT STONE M.D., PH.D. (NPI 1245597780) is an individual sports medicine provider in Lexington, Kentucky, licensed in Kentucky (51739) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1245597780

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. AUSTIN VINCENT STONECredential: M.D., PH.D.

Location Address740 SOUTH LIMESTONE, SUITE K401Lexington, KY 40356-0284

Mailing Address740 South Limestone, Suite K401Lexington, KY 40356-0284 · (859) 323-5533 · Fax (859) 323-2412

Phone(859) 323-5533

Fax(859) 323-2412

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2010

Enumeration DateApril 23, 2012

Last NPPES UpdateApril 17, 20194 updates tracked since enumeration

✔ NPI 1245597780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in KY · 51739✔ Licensed in IN · 01078535A

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 51739 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

740 SOUTH LIMESTONE, Lexington, KY 40356

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Secondary Practice Location 1

Location 1Wake Forest Baptist Health, Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-3448 · Fax (336) 716-3861

Accepted Insurance

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

Dr. Austin Vincent Stone M.d., Ph.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 ID143521344

PECOS Enrollment IDI20180831001584

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 5

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 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.

57 services40 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

23 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

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.

17 services15 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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 Austin Stone's NPI number?

The NPI number for Austin Stone is 1245597780. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Austin Stone located?

Austin Stone practices at 740 South Limestone Suite K401, Lexington, KY 40356. The listed phone number is (859) 323-5533.

What is Austin Stone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Austin Stone enrolled in Medicare?

Yes. Austin 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 Austin Stone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Austin 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 Austin Stone affiliated with any hospitals?

According to CMS data, Austin Stone is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Austin Stone was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.