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DR. RICHARD L STONE M.D.
NPI 1548262801
Dermatology in Provo, UT

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1275 N UNIVERSITY AVE STE 23, PROVO, UT 84604(801) 377-4745(801) 373-5762 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard L Stone M.d. NPPES

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

DR. RICHARD L STONE M.D. (NPI 1548262801) is an individual dermatology provider in Provo, Utah, licensed in Utah (154114-1205) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1970).

NPPES Registry Identity

NPI1548262801
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. RICHARD L STONECredential: M.D.
Location Address1275 N UNIVERSITY AVE STE 23Provo, UT 84604-7125
Mailing Address1275 N University Ave Ste 23Provo, UT 84604-7125 · (801) 377-4745 · Fax (801) 373-5762
Phone(801) 377-4745
Fax(801) 373-5762
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1970
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 12, 2008
✔ NPI 1548262801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 154114-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 154114-1205 (UT)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 154114-1205 (UT)
1275 N UNIVERSITY AVE STE 23, Provo, UT 84604
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Other Identifiers 6

Other07-115-7001Medicare Railroad
OtherQM0000031427Altius
Medicare UPIND20144UT
Medicare PIN000064033UT
Other107004856101Selecthealth
Other0300032Uhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Dr. Richard L 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 ID8729150768
PECOS Enrollment IDI20080724000028
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,988 services365 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
596 services382 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.
425 services312 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
385 services274 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
205 services135 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
148 services111 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 1548262801. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Richard Stone located?

Richard Stone practices at 1275 N University Ave Ste 23, Provo, UT 84604. The listed phone number is (801) 377-4745.

What is Richard Stone's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Richard Stone enrolled in Medicare?

Yes. Richard 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 Richard Stone accept?

Health plans from Select Health 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 August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.