KIMBERLY ANN STONE M.D.
NPI 1568808020
Obstetrics & Gynecology in West Columbia, SC

Q: What is Kimberly Stone's NPI number?

The NPI number for Kimberly Stone is 1568808020. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Q: What is Kimberly Stone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Stone was last updated on April 20, 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.

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment

83.03/100

CMS Quality Rating

222 E MEDICAL LN STE 300, WEST COLUMBIA, SC 29169(803) 936-8100(803) 936-8130 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2021, Nov 28, 2018, Jul 6, 2017 (3 updates tracked since 2017).

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About Kimberly Ann Stone M.d. NPPES

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

KIMBERLY ANN STONE M.D. (NPI 1568808020) is an individual obstetrics & gynecology provider in West Columbia, South Carolina, licensed in South Carolina (86407) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Commonwealth Medical College (2013).

NPPES Registry Identity

NPI1568808020

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKIMBERLY ANN STONECredential: M.D.

Location Address222 E MEDICAL LN STE 300West Columbia, SC 29169-4848

Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 936-8100 · Fax (803) 936-8130

Phone(803) 936-8100

Fax(803) 936-8130

Sole ProprietorNo

Medical School CMSCommonwealth Medical CollegeGraduated 2013

Enumeration DateMay 10, 2013

Last NPPES UpdateApril 20, 20233 updates tracked since enumeration

NPPES CertifiedApril 20, 2023

✔ NPI 1568808020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in SC · 86407✔ Licensed in PA · MT203760✔ Licensed in PA · MD461653

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

222 E MEDICAL LN STE 300, West Columbia, SC 29169

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Kimberly Ann 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 ID2365736980

PECOS Enrollment IDI20210820002949

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

30 services30 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.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

83.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.45

Promoting Interoperability

Improvement Activities

Cost

72.17

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.

ALICE REYNOLDS FNP

Nurse Practitioner (Obstetrics & Gynecology)