TAYLOR W STONE M.D.
NPI 1518319177
Internal Medicine - Critical Care Medicine in Springfield, IL

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
751 N RUTLEDGE ST STE 1700, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-1229 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 4, 2024, Sep 26, 2022, Oct 10, 2019 and 1 more (4 updates tracked since 2019).

About Taylor W Stone M.d. NPPES

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

TAYLOR W STONE M.D. (NPI 1518319177) is an individual critical care medicine provider in Springfield, Illinois, licensed in Illinois (036148174) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518319177
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTAYLOR W STONECredential: M.D.
Location Address751 N RUTLEDGE ST STE 1700Springfield, IL 62702-4968
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2486
Fax(217) 545-1229
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 7, 2016
Last NPPES UpdateMarch 4, 20244 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1518319177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in IL · 036148174
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036148174 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036148174 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036148174 (IL)
751 N RUTLEDGE ST STE 1700, Springfield, IL 62702

Secondary Practice Locations 2

Location 1800 E Carpenter StSpringfield, IL 62769-1000 · Phone (217) 544-6464 · Fax (217) 757-6805
Location 2701 N 1st StSpringfield, IL 62702-3757 · Phone (217) 545-8000

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

Taylor W Stone M.d. 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 ID2769775220
PECOS Enrollment IDI20190329000042
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
155 services100 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
132 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services25 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
21 services21 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Dietitian, Registered
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Psychiatry)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Nurse Practitioner (Gerontology)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702

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 Taylor Stone's NPI number?

The NPI number for Taylor Stone is 1518319177. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Taylor Stone located?

Taylor Stone practices at 751 N Rutledge St Ste 1700, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Taylor Stone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Taylor Stone enrolled in Medicare?

Yes. Taylor 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.

Is Taylor Stone affiliated with any hospitals?

According to CMS data, Taylor Stone is affiliated with St Johns Hospital, Decatur Memorial Hospital, Memorial Medical Center, St Francis Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Taylor Stone was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.