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RICHARD DOUGLAS STONE M.D.
NPI 1417976119
Pediatrics in Birmingham, AL

Active since July 19, 2006PECOS Enrolled
1936 OLD ORCHARD RD, BIRMINGHAM, AL 35216(205) 978-3200(205) 978-5745 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard Douglas Stone M.d. NPPES

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

RICHARD DOUGLAS STONE M.D. (NPI 1417976119) is an individual pediatrics provider in Birmingham, Alabama, licensed in Alabama (21232) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417976119
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRICHARD DOUGLAS STONECredential: M.D.
Location Address1936 OLD ORCHARD RDBirmingham, AL 35216-2247
Mailing Address1936 Old Orchard RdBirmingham, AL 35216-2247 · (205) 978-3200 · Fax (205) 978-5745
Phone(205) 978-3200
Fax(205) 978-5745
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1417976119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 21232
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1936 OLD ORCHARD RD, Birmingham, AL 35216
Open in Google Maps ↗

Other Identifiers 7

OtherF936AL · Blue Cross Common Payer
Other1210679AL · United Healthcare Provide
Other324501AL · Cigna Provider Number
Other51008590AL · Blue Cross Of Alabama
Other630307306015AL · Tricare Provider Number
Other0007893015AL · Aetna Provider Number
Medicare UPING97445AL

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Douglas Stone M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Children's Hospital Of Alabama
Same address
Pediatrics
1936 OLD ORCHARD RD
Birmingham, AL 35216
  • Reassigned Medicare billing, Alabama enrollment
  • 6 clinicians in this Medicare group
NPI 1962516302 (205) 978-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35216 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.

Other Providers at the Same Location NPPES 9

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

RICHARD FELIX SMITH M.D.
Pediatrics
1936 OLD ORCHARD RD
BIRMINGHAM, AL 35216
Jefferson County (205) 978-3200
ELIZABETH MCCURDY CRUM M.D.
Pediatrics
1936 OLD ORCHARD RD
VESTAVIA, AL 35216
Jefferson County (205) 978-3200
JOSEPH LYNDON HAMM M.D.
Pediatrics
1936 OLD ORCHARD RD
BIRMINGHAM, AL 35216
Jefferson County (205) 978-3200
MRS. LAURA HERREN READ R.PH
Pharmacist
1936 OLD ORCHARD RD
VESTAVIA, AL 35216
Jefferson County (205) 824-0775
MRS. GINNY T. NORTHAM PHARM D
Pharmacist
1936 OLD ORCHARD RD
VESTAVIA, AL 35216
Jefferson County (205) 824-0775
DR. CHRISTOPHER ALLEN CHAPLEAU PHARMD/PHD
Pharmacist
1936 OLD ORCHARD RD
VESTAVIA, AL 35216
Jefferson County (205) 824-0775
JOHN DAVID SIMPSON M.D.
Pediatrics
1936 OLD ORCHARD RD
BIRMINGHAM, AL 35216
Jefferson County (205) 978-3200
WILLIAM EDWARD HARDWICK JR. M.D.
Pediatrics
1936 OLD ORCHARD RD
BIRMINGHAM, AL 35216
Jefferson County (205) 978-3200

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 Richard Stone's NPI number?

The NPI number for Richard Stone is 1417976119. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Richard Stone located?

Richard Stone practices at 1936 Old Orchard Rd, Birmingham, AL 35216. The listed phone number is (205) 978-3200.

What is Richard Stone's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Richard Stone enrolled in Medicare?

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

Which organization bills Medicare for Richard Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Stone reassigns Medicare benefits to The Children's Hospital Of Alabama (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Stone accept?

Health plans from Blue Cross and Blue Shield of Alabama list Richard 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 Richard Stone was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.