ARLEN D STONE MD
NPI 1396703765
Family Medicine in Newark, DE

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
11.79/100
CMS Quality Rating
1 CENTURIAN DR, SUITE 105, NEWARK, DE 19713(302) 999-0933(302) 999-8633 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arlen D Stone Md NPPES

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

ARLEN D STONE MD (NPI 1396703765) is an individual family medicine provider in Newark, Delaware, licensed in Delaware (C10004131) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1990).

NPPES Registry Identity

NPI1396703765
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameARLEN D STONECredential: MD
Location Address1 CENTURIAN DR, SUITE 105Newark, DE 19713-2137
Mailing Address1 Centurian Dr, Suite 105Newark, DE 19713-2137 · (302) 999-0933 · Fax (302) 999-8633
Fax(302) 999-8633
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1990
Enumeration DateMay 3, 2006
Last NPPES UpdateNovember 26, 2008
NPI 1396703765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in DE · C10004131 Licensed in MD · D0054073
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License C10004131 (DE)
1 CENTURIAN DR, Newark, DE 19713

Other Names 1

Professional Name (2)Dr. Arlen Drew Stone

Other Identifiers 6

Medicare ID-Type Unspecified000N22F12DE
Medicare ID-Type Unspecified056M877EMD
Medicaid0000540401DE
Medicare UPINF48898
Medicaid368802000MD
Medicare ID-Type Unspecified752451N51DE

Accepted 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

Arlen D 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 ID1557439239
PECOS Enrollment IDI20081010000120
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 18

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.
364 services246 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
133 services121 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.
114 services104 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.
84 services84 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
47 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

11.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost39.31

Referred Medical Equipment & Supplies CMS DME claims 4

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
5 suppliers17 claims46 services$6.09 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$34.09 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$59.35 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers12 claims12 services$201.84 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 20

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

Specialist/Technologist (Athletic Trainer)
1 CENTURIAN DR
NEWARK, DE 19713
Dentist (General Practice)
1 CENTURIAN DR, SUITE 213
NEWARK, DE 19713
Physical Therapist
1 CENTURIAN DR
NEWARK, DE 19713
Nurse Practitioner (Family)
1 CENTURIAN DR, STE 200
NEWARK, DE 19713
Family Medicine
1 CENTURIAN DR, SUITE 105
NEWARK, DE 19713
Chiropractor
1 CENTURIAN DR, SUITE 104
NEWARK, DE 19713
Nurse Practitioner (Family)
1 CENTURIAN DR
NEWARK, DE 19713
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1 CENTURIAN DR, SUITE 312
NEWARK, DE 19713

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 Arlen Stone's NPI number?

The NPI number for Arlen Stone is 1396703765. It was assigned to this individual provider in the NPPES registry on May 3, 2006. The provider is also known as Dr. Arlen Drew Stone.

Where is Arlen Stone located?

Arlen Stone practices at 1 Centurian Dr Suite 105, Newark, DE 19713. The listed phone number is (302) 999-0933.

What is Arlen Stone's specialty?

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

Is Arlen Stone enrolled in Medicare?

Yes. Arlen 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 Arlen Stone accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Arlen 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 Arlen Stone was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.