1. Home
  2. Directory
  3. Vermont
  4. Montpelier
  5. Psychiatry Neurology
  6. NPI Profile

DR. JAMES SCOTT STONE MD
NPI 1275587099
Psychiatry & Neurology - Psychiatry in Montpelier, VT

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
73 MAIN ST APT 39, MONTPELIER, VT 05602(802) 223-2633(802) 225-8971 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. James Scott Stone Md NPPES

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

DR. JAMES SCOTT STONE MD (NPI 1275587099) is an individual psychiatry provider in Montpelier, Vermont, licensed in Vermont (042.0008776) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (1989).

NPPES Registry Identity

NPI1275587099
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAMES SCOTT STONECredential: MD
Location Address73 MAIN ST APT 39Montpelier, VT 05602-2987
Mailing Address73 Main St, Box 28, Room 18Montpelier, VT 05602-2932 · (802) 223-2633 · Fax (802) 225-8971
Phone(802) 223-2633
Fax(802) 225-8971
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1989
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1275587099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in VT · 042.0008776
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
73 MAIN ST APT 39, Montpelier, VT 05602
Open in Google Maps ↗

Other Identifiers 1

Medicaid0VN0643VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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. James Scott Stone Md 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 ID6901814904
PECOS Enrollment IDI20060403000536
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 4

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 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.
327 services59 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
179 services24 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
43 services14 patients
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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LINDA LEONARD LADC
Counselor (Addiction (Substance Use Disorder))
73 MAIN ST APT 39
MONTPELIER, VT 05602
Washington County (802) 225-8355

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 James Stone's NPI number?

The NPI number for James Stone is 1275587099. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is James Stone located?

James Stone practices at 73 Main St Apt 39, Montpelier, VT 05602. The listed phone number is (802) 223-2633.

What is James Stone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Stone enrolled in Medicare?

Yes. James 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 James Stone accept?

Health plans from Harvard Pilgrim Health Care list James 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 James Stone was last updated on April 25, 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.