DR. MARK R STONE M.D.
NPI 1619031838
Internal Medicine - Hematology in Newberg, OR
About Dr. Mark R Stone M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK R STONE M.D. (NPI 1619031838) is an individual hematology provider in Newberg, Oregon, licensed in Oregon (MD24415) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Hillsboro.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Mark R 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, OROhsu Hospital And Clinics
Acute Care Hospitals · Portland, ORProvidence Newberg Medical Center
Acute Care Hospitals · Newberg, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWBERG, OR 97132
NEWBERG, OR 97132
NEWBERG, OR 97132
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 Mark Stone's NPI number?
The NPI number for Mark Stone is 1619031838. It was assigned to this individual provider in the NPPES registry on December 21, 2006.
Where is Mark Stone located?
Mark Stone practices at 1000 N Providence Dr Ste 310, Newberg, OR 97132. The listed phone number is (503) 537-6040.
What is Mark Stone's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.
Is Mark Stone enrolled in Medicare?
Yes. Mark 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 Mark Stone accept?
Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mark 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 Mark Stone affiliated with any hospitals?
According to CMS data, Mark Stone is affiliated with Providence St Vincent Medical Center, Ohsu Hospital And Clinics, Providence Newberg Medical Center and Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Stone was last updated on May 6, 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.
# Dr. Mark R Stone, M.D. · NPI 1619031838
Hematology physician in Newberg, Oregon. Individual provider, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1619031838 (Entity type: Individual)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Internal Medicine - Hematology · taxonomy 207RH0000X
- **State license:** MD24415 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N PROVIDENCE DR STE 310, Newberg, OR 97132-7582
- **Phone:** (503) 537-6040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1996
## Record status
- **NPPES last updated:** May 6, 2024
- **Other identifiers:** Medicaid 227287 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1619031838) · Data from the CMS NPPES public registry.