LORA STONE NP-C
NPI 1437520673
Nurse Practitioner in South Shore, KY

Active since October 14, 2015PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
5129 STATE ROUTE 7, SOUTH SHORE, KY 41175(606) 465-5866 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lora Stone Np-c NPPES

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

LORA STONE NP-C (NPI 1437520673) is an individual nurse practitioner in South Shore, Kentucky, licensed in Ohio (F0915410) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portsmouth, and is a graduate of Ohio State University College Of Medicine (2015).

NPPES Registry Identity

NPI1437520673
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORA STONECredential: NP-C
Location Address5129 STATE ROUTE 7South Shore, KY 41175-8828
Mailing Address1711 27th St, Braunlin Building Suite 306Portsmouth, OH 45662-2654 · (740) 353-8661 · Fax (740) 354-3254
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2015
Enumeration DateOctober 14, 2015
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1437520673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · F0915410
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5129 STATE ROUTE 7, South Shore, KY 41175

Secondary Practice Location 1

Location 11711 27th St, Braunlin Building Suite 306Portsmouth, OH 45662-2654 · Phone (740) 353-8661 · Fax (740) 354-3254

Other Identifiers 3

Medicaid1437520673WV
Medicaid7100446890KY
Medicaid0189896OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lora Stone Np-c 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 ID6002126521
PECOS Enrollment IDI20151112000559, I20220808001239
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 Reassignments

8

Medicare enrollment records show Lora Stone reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1109 BELLEFONTE RD
Flatwoods, KY 41139
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • Also billed through NPI 1124304852 (Ohio)
  • 221 clinicians in this Medicare group
Emergency Medicine
2201 LEXINGTON AVE
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 47 clinicians in this Medicare group
Nurse Practitioner
3958 BROWN PARK DR STE D
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 82 clinicians in this Medicare group
Nurse Practitioner
828 LANE ALLEN RD STE 219
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 66 clinicians in this Medicare group
Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 114 clinicians in this Medicare group
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 86 clinicians in this Medicare group
Nurse Practitioner
101 CABARRUS AVE E STE 100
Concord, NC 28025
  • Reassigned Medicare billing, Kentucky enrollment
  • 65 clinicians in this Medicare group
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 145 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
116 services112 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services79 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.
32 services32 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41175 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Reported Quality Measures

Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis
The percentage of adults 18-64 years of age with a diagnosis of acute bronchitis who were not prescribed or dispensed an antibiotic prescription
95%43 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Lora Stone's NPI number?

The NPI number for Lora Stone is 1437520673. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Where is Lora Stone located?

Lora Stone practices at 5129 State Route 7, South Shore, KY 41175. The listed phone number is (606) 465-5866.

What is Lora Stone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lora Stone enrolled in Medicare?

Yes. Lora 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.

Which organizations bill Medicare for Lora Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lora Stone reassigns Medicare benefits to 8 organizations: Ashland Hospital Corporation (Flatwoods, KY), Kentucky Em-I Medical Services Psc (Ashland, KY), Eventus Ecs - Ohio LLC (Hilliard, OH), Eventus Ecs - Kentucky, PLLC (Lexington, KY), Eventus Wholehealth Midwest Inc (Columbus, IN) and 3 more organizations, listed in the Medicare section above. Each 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 Lora Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lora Stone accept?

Health plans from CareSource and MedMutual list Lora 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 Lora Stone was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.