BRETT A STONE D.O.
NPI 1821376039
Surgery in Oklahoma City, OK

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
3433 NW 56TH ST STE 900, OKLAHOMA CITY, OK 73112(405) 713-9935(405) 713-9936 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2021, Oct 7, 2018, Jun 14, 2016 (3 updates tracked since 2016).

About Brett A Stone D.o. NPPES

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

BRETT A STONE D.O. (NPI 1821376039) is an individual surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (5820) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2010).

NPPES Registry Identity

NPI1821376039
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBRETT A STONECredential: D.O.
Location Address3433 NW 56TH ST STE 900Oklahoma City, OK 73112-4452
Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 713-9935 · Fax (405) 713-9936
Fax(405) 713-9936
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2010
Enumeration DateJuly 22, 2011
Last NPPES UpdateFebruary 22, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1821376039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in OK · 5820 Licensed in MO · 2010018688
Definition
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.
3433 NW 56TH ST STE 900, Oklahoma City, OK 73112

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

Brett A Stone D.o. 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 ID6305154634
PECOS Enrollment IDI20151006001007
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 6

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.

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.
74 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
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.
19 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

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.

Physician Assistant
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112
Neurological Surgery
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112
Physician Assistant
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112
Surgery
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Acute Care)
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112
Surgery
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112
Physician Assistant
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112
Physician Assistant
3433 NW 56TH ST STE 900
OKLAHOMA CITY, OK 73112

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 Brett Stone's NPI number?

The NPI number for Brett Stone is 1821376039. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Brett Stone located?

Brett Stone practices at 3433 NW 56th St Ste 900, Oklahoma City, OK 73112. The listed phone number is (405) 713-9935.

What is Brett Stone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brett Stone enrolled in Medicare?

Yes. Brett 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 Brett Stone accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Brett 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 Brett Stone affiliated with any hospitals?

According to CMS data, Brett Stone is affiliated with Integris Baptist Medical Center, Inc, Integris Southwest Medical Center and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Brett Stone was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.