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

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: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2024, Sep 4, 2020, May 22, 2019 and 2 more (5 updates tracked since 2017).

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 2 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, Suite 204Port Charlotte, FL 33952-8157 · (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 UpdateSeptember 25, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ 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 MT · 60796✔ Licensed in FL · ME117694
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 14782 (ND), 036148282 (IL), 64887 (MN)
3390 TAMIAMI TRL, Port Charlotte, FL 33952
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Secondary Practice Locations 2

Location 1500 W Broadway StMissoula, MT 59802-4008 · Phone (406) 543-7271 · Fax (406) 327-1834
Location 25955 Rand BlvdSarasota, FL 34238-5160 · Phone (941) 552-7508

Other Identifiers 1

Medicaid010626200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Medica 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

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.

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

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

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.

What insurance does James Stone accept?

Health plans from AvMed, CareSource, Medica, Network Health and Oscar Insurance Company 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, Franklin Hospital, Roper Hospital and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Stone was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.