DR. AMY ELIZABETH STONE DDS
NPI 1295945475
Dentist - Endodontics in Tulsa, OK

NPI Status: Active since May 23, 2007

Contact Information

6565 S YALE AVE
SUITE #712
TULSA, OK
ZIP 74136
Phone: (918) 481-6622

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dentist
Endodontics
Accepts Insurance
PECOS Enrolled
Opted-Out Medicare

About AMY STONE

This page provides the complete NPI Profile along with additional information for Amy Stone, a provider established in Tulsa, Oklahoma with a medical specialization in Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1295945475 assigned on May 2007. The practitioner's primary taxonomy code is 1223E0200X with license number 5812 (OK). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1295945475
Provider Name: DR. AMY ELIZABETH STONE DDS
Gender: Female
Entity Type: Individual
Location Address: 6565 S YALE AVE SUITE #712 TULSA, OK 74136
Location Phone: (918) 481-6622
Mailing Address: 6565 S YALE AVE SUITE #712 TULSA, OK 74136
Mailing Phone: (918) 481-6622
Is Sole Proprietor?: Yes
Enumeration Date: 05-23-2007
Last Update Date: 07-08-2007
Code Navigator

A dentist like Amy Stone is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Amy Stone opted out of Medicare effective on 06-30-2021 until 06-30-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Endodontics
Taxonomy Code: 1223E0200X
Type: Dental Providers
License No.: 5812
License State: OK
Taxonomy Description: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Illinois

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Montana

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Oklahoma

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Texas

BlueCare Dental 1D - PPO
BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Amy Stone is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-30-2021
Opt-Out End Date: 06-30-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 74136 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $82.46
Minimum New Patient Price $53
Maximum New Patient Price $162.61

Average New Patient Copayment $20.61
Minimum New Patient Copayment $13.25
Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $66.48
Minimum Established Patient Price $16.68
Maximum Established Patient Price $132.4

Average Established Patient Copayment $16.62
Minimum Established Patient Copayment $4.17
Maximum Established Patient Copayment $33.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	9	5	9	4	5	4	7	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	18	5	18	4	10	4	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 8 + 4 + 1 + 0 + 4 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1295945475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. JERRY WAYNE SMITH D.D.S.

Dentist

(Pediatric Dentistry)

6565 S YALE AVE
TULSA, OK
ZIP 74136

About AMY STONE

Location Map

Specialty - Primary Taxonomy

Dentist Endodontics

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Opted-Out of Medicare? Yes

Opt-Out Effective Date: 06-30-2021

Opt-Out End Date: 06-30-2025

Eligible to Order and Refer? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for DR. AMY ELIZABETH STONE DDS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions