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DR. MELISSA STONER M.D.
NPI 1265687875
Family Medicine in North Beach, MD

Active since November 24, 2008PECOS EnrolledAccepts Medicare Assignment
91.38/100
CMS Quality Rating
8924 CHESAPEAKE AVE, NORTH BEACH, MD 20714(410) 257-7279(410) 257-4311 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Melissa Stoner M.d. NPPES

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

DR. MELISSA STONER M.D. (NPI 1265687875) is an individual family medicine provider in North Beach, Maryland, licensed in Maryland (D0071254) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2006).

NPPES Registry Identity

NPI1265687875
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELISSA STONERCredential: M.D.
Location Address8924 CHESAPEAKE AVENorth Beach, MD 20714-4050
Mailing Address100 Hospital RdPrince Frederick, MD 20678-4017 · (410) 535-4488 · Fax (410) 535-8417
Phone(410) 257-7279
Fax(410) 257-4311
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2006
Enumeration DateNovember 24, 2008
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1265687875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0071254
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8924 CHESAPEAKE AVE, North Beach, MD 20714
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Other Identifiers 1

OtherP00921121MA · Rr Medicare

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. Melissa Stoner 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 ID3375732829
PECOS Enrollment IDI20110113001000
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 Melissa Stoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Calverthealth Medical Group, LLC
Same address
Family Medicine
8924 CHESAPEAKE AVE
North Beach, MD 20714
  • Reassigned Medicare billing, Maryland enrollment
  • 57 clinicians in this Medicare group
NPI 1851138879 (410) 257-7279

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.

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.
334 services177 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.
313 services155 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20714 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

91.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability97
Improvement Activities40
Cost83.45

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
8 suppliers34 claims70 services$5.40 avg. paid by Medicare
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
1 supplier12 claims12 services$59.70 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims1,560 services$0.06 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers14 claims14 services$16.99 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 2

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

ERNESTINA DEL ROSARIO ATKINS FNP-BC
Nurse Practitioner (Family)
8924 CHESAPEAKE AVE
NORTH BEACH, MD 20714
Calvert County (410) 257-7279
CALVERTHEALTH MEDICAL GROUP, LLC
Family Medicine
8924 CHESAPEAKE AVE
NORTH BEACH, MD 20714
Calvert County (410) 257-7279

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 Melissa Stoner's NPI number?

The NPI number for Melissa Stoner is 1265687875. It was assigned to this individual provider in the NPPES registry on November 24, 2008.

Where is Melissa Stoner located?

Melissa Stoner practices at 8924 Chesapeake Ave, North Beach, MD 20714. The listed phone number is (410) 257-7279.

What is Melissa Stoner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melissa Stoner enrolled in Medicare?

Yes. Melissa Stoner 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 Melissa Stoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Stoner reassigns Medicare benefits to Calverthealth Medical Group, LLC (North Beach, MD). 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 Melissa Stoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Stoner was last updated on January 16, 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.