RICHARD A STONE M.D.
NPI 1780790444
Surgery in Irvine, KY
NPI Status: Active since August 22, 2006
Contact Information
60 MERCY CT
IRVINE, KY
ZIP 40336
Phone: (606) 726-6540
Fax: (606) 723-4364
- Individual
- Male
- Surgery
- Medicare Quality Reporting
About RICHARD STONE
This page provides the complete NPI Profile along with additional information for Richard Stone, a provider established in Irvine, Kentucky with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1780790444 assigned on August 2006. The practitioner's primary taxonomy code is 208600000X with license number 26876 (KY). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1780790444
- Provider Name
- RICHARD A STONE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 60 MERCY CT IRVINE, KY 40336
- Location Phone
- (606) 726-6540
- Location Fax
- (606) 723-4364
- Mailing Address
- 2200 JEFFERSON AVE 5TH FLOOR MERCY PHO/CVO TOLEDO, OH 43604
- Mailing Phone
- (419) 251-9830
- Mailing Fax
- (606) 723-4364
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-22-2006
- Last Update Date
- 01-11-2017
- Code Navigator
A surgeon like Richard Stone treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 26876
- License State
- KY
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000050184 | OTHER (01) | KY | ANTHEM |
| 1026107 | OTHER (01) | KY | PASSPORT HEALTH |
| 020008943 | MEDICARE PIN (08) | ||
| 020008943 | MEDICARE PIN (08) | KY | |
| 4329908 | OTHER (01) | KY | AETNA |
| 1305931 | OTHER (01) | KY | CIGNA |
| A97615 | MEDICARE UPIN (02) | ||
| 0264302 | MEDICARE PIN (08) | KY | |
| 020008943 | OTHER (01) | PALMETTO, GBA | |
| 021113600 | OTHER (01) | KY | US DEPARTMENT OF LABOR |
| K007579 | OTHER (01) | KY | PGBA, LLC |
| 8592603606 | OTHER (01) | KY | UNITED HEALTHCARE |
| 020008943 | OTHER (01) | RAILROAD MEDICARE | |
| 64268766 | MEDICAID (05) | KY | |
| K219130 | MEDICARE PIN (08) | KY | |
| 020008943 | OTHER (01) | KY | TRAVELERS MEDICARE |
| 163843500 | OTHER (01) | KY | US DEPT OF LABOR |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 16% | 77 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 76% | 107 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Reviews for RICHARD A STONE M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780790444, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
IRVINE, KY 40336
IRVINE, KY 40336
IRVINE, KY 40336
IRVINE, KY 40336
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780790444, enumerated as an "individual" on August 22, 2006.
The provider is located at 60 MERCY CT IRVINE, KY 40336 and the phone number is (606) 726-6540.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid, Aetna,. Please consult your insurance carrier or call the provider to verify.
