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MICHAEL STONE P.A.
NPI 1821017252
Physician Assistant - Medical in Greeneville, TN

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
438 E VANN RD, SUITE 100, GREENEVILLE, TN 37743(438) 278-1700(438) 278-1708 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Stone P.a. NPPES

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

MICHAEL STONE P.A. (NPI 1821017252) is an individual medical provider in Greeneville, Tennessee and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Albany Medical College Of Union University (1978).

NPPES Registry Identity

NPI1821017252
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL STONECredential: P.A.
Location Address438 E VANN RD, SUITE 100Greeneville, TN 37743-7202
Mailing AddressPo Box 37087Baltimore, MD 21297-3087 · (828) 687-5616 · Fax (828) 650-8076
Phone(438) 278-1700
Fax(438) 278-1708
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1978
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 17, 2015
✔ NPI 1821017252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
438 E VANN RD, Greeneville, TN 37743
Open in Google Maps ↗

Other Identifiers 5

Medicaid8102615NC
Other4148627TN · Bcbs Of Tn
Medicare UPINS39293
Medicaid36669061TN
Medicare PIN36669061TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Michael Stone P.a. 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 ID1456259456
PECOS Enrollment IDI20031229000899
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 4

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.
102 services45 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.
48 services26 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
48 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims24 services$6.14 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$72.05 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

FIRST CHOICE NEUROSURGERY
Clinic/Center (Medical Specialty)
438 E VANN RD, SUITE 301
GREENEVILLE, TN 37743
Greene County (423) 392-9300
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
438 E VANN RD, SUITE 200
GREENEVILLE, TN 37743
Greene County (423) 278-1704
FLORIDA PHYSICIANS MEDICAL GROUP, INC.
Internal Medicine
438 E VANN RD, SUITE 200
GREENEVILLE, TN 37743
Greene County (423) 278-1704
DR. WADE T TUGMAN RPH,PHARMD
Pharmacist
438 E VANN RD
GREENEVILLE, TN 37743
Greene County (423) 278-1800
DR. MICHAEL ODELL M.D.
Family Medicine
438 E VANN RD, SUITE 100
GREENEVILLE, TN 37743
Greene County (423) 278-1700
CHRISTOPHER FLEMING PAC
Physician Assistant
438 E VANN RD, SUITE 301
GREENEVILLE, TN 37743
Greene County (423) 278-1650
MISS AMY LEIGH SHELTON NP
Nurse Practitioner (Psychiatric/Mental Health)
438 E VANN RD
GREENEVILLE, TN 37743
Greene County (423) 636-0491
MELISSA GAFFNEY DPM
Podiatrist (Foot & Ankle Surgery)
438 E VANN RD, SUITE 301
GREENEVILLE, TN 37743
Greene County (423) 278-1650

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 Michael Stone's NPI number?

The NPI number for Michael Stone is 1821017252. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Michael Stone located?

Michael Stone practices at 438 E Vann Rd Suite 100, Greeneville, TN 37743. The listed phone number is (438) 278-1700.

What is Michael Stone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Stone enrolled in Medicare?

Yes. Michael 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 Michael Stone accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Michael 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 Michael Stone affiliated with any hospitals?

According to CMS data, Michael Stone is affiliated with University Of Kansas Hospital and Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Stone was last updated on June 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.