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HERBERT A STONE JR. MD
NPI 1285667162
Emergency Medicine in Spanish Fort, AL

Active since July 07, 2006PECOS Enrolled
33480 ALDER CIR, SPANISH FORT, AL 36527(251) 454-6950(251) 433-9890 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Herbert A Stone Jr. Md NPPES

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

HERBERT A STONE JR. MD (NPI 1285667162) is an individual emergency medicine provider in Spanish Fort, Alabama, licensed in Alabama (MD.7883) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285667162
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHERBERT A STONE JR.Credential: MD
Location Address33480 ALDER CIRSpanish Fort, AL 36527-9095
Mailing Address33480 Alder CirSpanish Fort, AL 36527-9095 · (251) 454-6950 · Fax (251) 433-9890
Phone(251) 454-6950
Fax(251) 433-9890
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 7, 2014
✔ NPI 1285667162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AL · MD.7883
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD.7883 (AL)
Also ListedHospitalistTaxonomy 208M00000X · License MD.7883 (AL)
33480 ALDER CIR, Spanish Fort, AL 36527
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Other Identifiers 20

Other515-33139AL · Bcbs
Medicare UPINC72839AL
Medicare PIN930074643AL
Medicare PIN051555859AL
Medicare PINP00418968AL
Other510-08236AL · Bcbs
Other515-97205AL · Bcbs
Other1285667162AL · Tricare South
Other515-33137AL · Bcbs
Medicaid009937941AL
Medicaid009936108AL
Medicare PIN000008236AL
Other510-01010AL · Bcbs
Medicare PIN000034778AL
Other510-04056AL · Bcbs
Medicaid009991615AL
Medicaid009936111AL
Medicaid009936109AL
Medicaid009911552AL
Medicaid000008236AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Herbert A Stone Jr. Md 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.

Areas of Expertise CMS Part B claims 2

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.

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
54 services45 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36527 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers13 claims445 services$4.39 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers19 claims581 services$3.29 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims662 services$6.09 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier27 claims786 services$4.26 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier43 claims25,377 services$0.32 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers19 claims9,686 services$0.69 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 Herbert Stone's NPI number?

The NPI number for Herbert Stone is 1285667162. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Herbert Stone located?

Herbert Stone practices at 33480 Alder Cir, Spanish Fort, AL 36527. The listed phone number is (251) 454-6950.

What is Herbert Stone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Herbert Stone enrolled in Medicare?

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

What insurance does Herbert Stone accept?

Health plans from Blue Cross and Blue Shield of Alabama list Herbert 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 Herbert Stone was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.