DANIELLE STONE M.D.
NPI 1710371612
Internal Medicine - Cardiovascular Disease in Harlingen, TX

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
98.27/100
CMS Quality Rating
2310 N ED CAREY DR STE 1A, HARLINGEN, TX 78550(956) 428-5522(956) 412-5109 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Danielle Stone M.d. NPPES

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

DANIELLE STONE M.D. (NPI 1710371612) is an individual cardiovascular disease provider in Harlingen, Texas, licensed in Texas (R4328) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710371612
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDANIELLE STONECredential: M.D.
Location Address2310 N ED CAREY DR STE 1AHarlingen, TX 78550-8200
Mailing Address5501 S Expressway 77Harlingen, TX 78550-3213 · (956) 428-5522
Fax(956) 412-5109
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 27, 2015
Last NPPES UpdateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1710371612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · R4328
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2310 N ED CAREY DR STE 1A, Harlingen, TX 78550

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

Danielle 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 ID2365858503
PECOS Enrollment IDI20210312000321
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 21

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.
285 services136 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
245 services199 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.
193 services124 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
180 services172 patients
Ct scan of blood vessels and grafts of heart with contrast 75574
A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.
162 services161 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.
131 services69 patients

Hospital Affiliations CMS Care Compare 4

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450855
Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

98.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.61
Promoting Interoperability93.22
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550
Physician Assistant
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550
Nurse Practitioner (Acute Care)
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550
Nurse Practitioner (Family)
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550
Nurse Practitioner (Acute Care)
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550
Nurse Practitioner (Primary Care)
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550
Internal Medicine (Cardiovascular Disease)
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550
Clinic/Center (Ambulatory Surgical)
2310 N ED CAREY DR STE 1A
HARLINGEN, TX 78550

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 Danielle Stone's NPI number?

The NPI number for Danielle Stone is 1710371612. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Danielle Stone located?

Danielle Stone practices at 2310 N Ed Carey Dr Ste 1A, Harlingen, TX 78550. The listed phone number is (956) 428-5522.

What is Danielle Stone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Danielle Stone enrolled in Medicare?

Yes. Danielle 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 Danielle Stone accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Danielle 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 Danielle Stone affiliated with any hospitals?

According to CMS data, Danielle Stone is affiliated with Vhs Harlingen Hospital Company LLC, Knapp Medical Center, Harlingen Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Danielle Stone was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.