MR. JOHN PAUL STONE NURSE PRACTITIONER
NPI 1508228412
Nurse Practitioner - Family in Gallipolis, OH

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
100 JACKSON PIKE, GALLIPOLIS, OH 45631(855) 446-5937(740) 446-5532 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Oct 25, 2019, Mar 22, 2016 (3 updates tracked since 2016).

About Mr. John Paul Stone Nurse Practitioner NPPES

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

MR. JOHN PAUL STONE NURSE PRACTITIONER (NPI 1508228412) is an individual family provider in Gallipolis, Ohio, licensed in Ohio (COA.18838-NP) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508228412
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN PAUL STONECredential: NURSE PRACTITIONER
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 441-1949 · Fax (740) 446-5982
Fax(740) 446-5532
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 22, 2016
Last NPPES UpdateDecember 29, 20203 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1508228412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OH · COA.18838-NP Licensed in KY · 3009980 Licensed in WV · APRN34512NP
100 JACKSON PIKE, Gallipolis, OH 45631

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

Mr. John Paul Stone Nurse Practitioner 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 ID7517972573
PECOS Enrollment IDI20160614000543
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

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.
55 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

Reported Quality Measures

Colorectal Cancer Screening
54%91 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
67%85 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
60%35 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
43%35 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%339 patients5/55-star benchmark: 100%
e-Prescribing
99%151 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%123 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%113 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 135 patients
Patients screened: 100% · 135 patients
62%47 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%63 patients4/55-star benchmark: 100%
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.

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.

Nurse Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631

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 John Stone's NPI number?

The NPI number for John Stone is 1508228412. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is John Stone located?

John Stone practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (855) 446-5937.

What is John Stone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Stone enrolled in Medicare?

Yes. John 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 John Stone accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and MedMutual list John 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.

Is John Stone affiliated with any hospitals?

According to CMS data, John Stone is affiliated with Holzer Medical Center.

When was this NPI record last updated?

The NPPES record for John Stone was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.