JAMES E. STONE M.D.
NPI 1992728927
Internal Medicine in Port Charlotte, FL

Q: What is James Stone's NPI number?

The NPI number for James Stone is 1992728927. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is James Stone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Stone was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

3390 TAMIAMI TRL, SUITE 204, PORT CHARLOTTE, FL 33952(941) 391-5495(941) 875-9875 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, Aug 14, 2024, Sep 4, 2020 and 3 more (6 updates tracked since 2017).

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About James E. Stone M.d. NPPES

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

JAMES E. STONE M.D. (NPI 1992728927) is an individual internal medicine provider in Port Charlotte, Florida, licensed in Georgia (054516) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992728927

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES E. STONECredential: M.D.

Location Address3390 TAMIAMI TRL, SUITE 204Port Charlotte, FL 33952-8157

Mailing Address3390 Tamiami Trl Ste 204Port Charlotte, FL 33952-8162 · (941) 391-5495 · Fax (941) 875-9875

Phone(941) 391-5495

Fax(941) 875-9875

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2001

Enumeration DateJuly 25, 2006

Last NPPES UpdateAugust 26, 20266 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1992728927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 054516✔ Licensed in FL · ME117694✔ Licensed in MT · 60796

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036148282 (IL), 14782 (ND), 64887 (MN)

3390 TAMIAMI TRL, Port Charlotte, FL 33952

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Secondary Practice Locations 3

Location 15955 Rand BlvdSarasota, FL 34238-5160 · Phone (941) 552-7508

Location 21700 S Tamiami TrlSarasota, FL 34239-3509 · Phone (941) 917-4896 · Fax (941) 917-6884

Location 3500 W Broadway StMissoula, MT 59802-4008 · Phone (406) 543-7271 · Fax (406) 327-1834

Other Identifiers 2

Medicaid126389400FL

Medicaid010626200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James E. 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 ID9638140973

PECOS Enrollment IDI20240723000903, I20250602000605, I20250626000336

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.

Medicare Billing Reassignments

Medicare enrollment records show James Stone reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inpatient Consultants Of Florida Inc

77 mi

Hospitalist

3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618

Reassigned Medicare billing, Florida enrollment
903 clinicians in this Medicare group

NPI 1457511164 (813) 936-5000

Hospital Medicine Services Of Fl, LLC

140 mi

Hospitalist

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
861 clinicians in this Medicare group

NPI 1710684857 (305) 682-7000

Beaufort County Memorial Hospital

378 mi

Obstetrics & Gynecology

BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210
Beaufort, SC 29902

Reassigned Medicare billing, South Carolina enrollment
212 clinicians in this Medicare group

NPI 1235552746 (843) 522-7820

24 On Physicians Of Sc, LLC

420 mi

Hospitalist

316 CALHOUN ST
Charleston, SC 29401

Reassigned Medicare billing, South Carolina enrollment
281 clinicians in this Medicare group

NPI 1144877655 (800) 923-2247

Ths Physician Partners Inc

784 mi

Internal Medicine

4605 MACCORKLE AVE SW
South Charleston, WV 25309

Reassigned Medicare billing, West Virginia enrollment
466 clinicians in this Medicare group

NPI 1871866806 (304) 414-4800

Good Samaritan Regional Health Center

874 mi

Emergency Medicine

1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
284 clinicians in this Medicare group

NPI 1487758801 (618) 899-4600

St. Mary's Hospital, Centralia, Illinois

893 mi

Anesthesiology

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: St Marys Hospital Centralia Illinois
392 clinicians in this Medicare group

NPI 1477097871 (618) 436-6056

Columbia St. Mary's Hospital Milwaukee, Inc

1,155 mi

Multi-Specialty

2350 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
856 clinicians in this Medicare group

NPI 1023064482 (414) 585-1000

Ascension Medical Group-Southeast Wisconsin Inc

1,155 mi

Anesthesiology

2301 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1194473066 (414) 585-1000

Ascension Medical Group-Fox Valley Wisconsin, Inc

1,238 mi

Multi-Specialty

101 MAIN ST
Neenah, WI 54956

Reassigned Medicare billing, Wisconsin enrollment
444 clinicians in this Medicare group

NPI 1730126392 (920) 727-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

271 services126 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

100 services100 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.

72 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

47 services31 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.

15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140034

Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County

Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420065

Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County

Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420087

Location316 Calhoun StCharleston, SC 29401 · Charleston County

Emergency services

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers28 claims28 services$16.75 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers29 claims29 services$89.56 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 12

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

ANNA BERENSTEIN MD

Internal Medicine

3390 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952

Charlotte County (941) 391-5496

CONRAD HEALTHCARE LLC

Home Health

3390 TAMIAMI TRL, SUITE 203
PORT CHARLOTTE, FL 33952

Charlotte County (941) 787-5619

THOMAS FLAHERTY PA

Physician Assistant (Medical)

3390 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952

Charlotte County (941) 391-5495

DR. PHILIP BLANCHARD PAINE M.D.

Internal Medicine

3390 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952

Charlotte County (941) 391-5496

PHILIPPE NOEL MD

Internal Medicine

3390 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952

Charlotte County (941) 391-5496

PAMELA DEBUS ARNP

Nurse Practitioner

3390 TAMIAMI TRL, STE 105
PORT CHARLOTTE, FL 33952

Charlotte County (941) 883-5050

21ST CENTURY ONCOLOGY LLC

Urology

3390 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952

Charlotte County (941) 766-8080

MRS. COHLEEN MARIE NOTTINGHAM ARNP

Nurse Practitioner (Psychiatric/Mental Health)

3390 TAMIAMI TRL, SUITE 104
PORT CHARLOTTE, FL 33952

Charlotte County (941) 764-0444

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 James Stone's NPI number?

The NPI number for James Stone is 1992728927. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Stone located?

James Stone practices at 3390 Tamiami Trl Suite 204, Port Charlotte, FL 33952. The listed phone number is (941) 391-5495.

What is James Stone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Stone enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Stone reassigns Medicare benefits to 10 organizations: Inpatient Consultants Of Florida Inc (Tampa, FL), Hospital Medicine Services Of Fl, LLC (Aventura, FL), Beaufort County Memorial Hospital (Beaufort, SC), 24 On Physicians Of Sc, LLC (Charleston, SC), Ths Physician Partners Inc (South Charleston, WV) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Stone accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Network Health, Oscar Health and Oscar Health Maintenance Organization of Florida and 2 other insurers list James 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 James Stone affiliated with any hospitals?

According to CMS data, James Stone is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Bon Secours-St Francis Xavier Hospital, Roper Hospital and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Stone was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.