LARRY STUART STONE MD
NPI 1396824942
Ophthalmology in Chicago, IL

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
9.02/100
CMS Quality Rating
4640 N MARINE DRIVE, CHICAGO, IL 60640(773) 561-4545(773) 561-9031 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry Stuart Stone Md NPPES

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

LARRY STUART STONE MD (NPI 1396824942) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (036063280) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1980).

NPPES Registry Identity

NPI1396824942
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameLARRY STUART STONECredential: MD
Location Address4640 N MARINE DRIVEChicago, IL 60640
Mailing Address4640 N Marine DriveChicago, IL 60640 · (773) 561-4545 · Fax (773) 561-9031
Fax(773) 561-9031
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1980
Enumeration DateNovember 3, 2006
Last NPPES UpdateApril 28, 2021
NPPES CertifiedApril 28, 2021
NPI 1396824942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036063280
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4640 N MARINE DRIVE, Chicago, IL 60640

Other Names 1

Other Name (5)Lawrence Stone Md

Other Identifiers 1

Medicaid036063280IL

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

Larry Stuart 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 ID648212431
PECOS Enrollment IDI20050526000034
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 21

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.
301 services208 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.
237 services155 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
210 services195 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
170 services119 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
166 services122 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
123 services117 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

9.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost30.08

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.

Ophthalmology
4640 N MARINE DRIVE
CHICAGO, IL 60640
Internal Medicine
4640 N MARINE DRIVE
CHICAGO, IL 60640

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 Larry Stone's NPI number?

The NPI number for Larry Stone is 1396824942. It was assigned to this individual provider in the NPPES registry on November 3, 2006. The provider is also known as Lawrence Stone MD.

Where is Larry Stone located?

Larry Stone practices at 4640 N Marine Drive, Chicago, IL 60640. The listed phone number is (773) 561-4545.

What is Larry Stone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Larry Stone enrolled in Medicare?

Yes. Larry 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 Larry Stone accept?

Health plans from Providence Health Plan list Larry 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 Larry Stone was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.