JAMES R STONE MD
NPI 1760572713
Surgery in Clarinda, IA
NPI Status: Active since October 13, 2006
Contact Information
220 ESSIE DAVISON DR
CLARINDA, IA
ZIP 51632
Phone: (712) 542-2176
Fax: (712) 542-8297
- Individual
- Male
- Surgery
- Accepts Insurance
- PECOS Enrolled
About JAMES STONE
This page provides the complete NPI Profile along with additional information for James Stone, a provider established in Clarinda, Iowa with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1760572713 assigned on October 2006. The practitioner's primary taxonomy code is 208600000X with license number 35770 (IA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1760572713
- Provider Name
- JAMES R STONE MD
- Other Name
- JIMMIE ROBERT STONE MD
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 220 ESSIE DAVISON DR CLARINDA, IA 51632
- Location Phone
- (712) 542-2176
- Location Fax
- (712) 542-8297
- Mailing Address
- PO BOX 217 CLARINDA, IA 51632
- Mailing Phone
- (712) 542-2176
- Mailing Fax
- (712) 542-8297
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-13-2006
- Last Update Date
- 01-27-2012
- Code Navigator
A surgeon like James 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.
- 35770
- License State
- IA
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 24196 (OK) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
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 |
|---|---|---|---|
| 248509903 | MEDICARE PIN (08) | OK | |
| D24180 | MEDICARE UPIN (02) | ||
| I10723006 | MEDICARE PIN (08) |
Medicare Participation & PECOS Enrollment Status
James Stone is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 51632 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.84
- Minimum New Patient Price $52.96
- Maximum New Patient Price $161.4
- Average New Patient Copayment $20.46
- Minimum New Patient Copayment $13.24
- Maximum New Patient Copayment $40.35
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.36
- Minimum Established Patient Price $16.91
- Maximum Established Patient Price $131.98
- Average Established Patient Copayment $16.59
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 5 | 7 | 2 | 7 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 10 | 7 | 4 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 0 + 7 + 4 + 7 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1760572713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063468205 | DR. GEORGE WILLIAM RICHARDSON M.D. Individual | Family Medicine | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-8330 |
| 1952349268 | DR. WILLIAM JOHN SHELTON M.D. Individual | Family Medicine | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-8330 |
| 1043386352 | UROLOGY CENTER, PC Organization | Urology | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-8216 |
| 1073589404 | CRIS L MORROW NP Individual | Nurse Practitioner | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1881663847 | MARLENE S BIRKHOLTZ-WIER D.O. Individual | Family Medicine | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1174561476 | DR. BRYON JON SCHAEFFER M.D. Individual | Family Medicine | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-8330 |
| 1669566758 | JASON TROY LIHS CRNA Individual | Nurse Anesthetist, Certified Registered | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1679619795 | MICHELE ANN BJORN ARNP Individual | Nurse Practitioner | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-8330 |
| 1962643478 | THEOPHILE BARLEY M.D. Individual | Family Medicine | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1417242819 | AMY E WILMES ARNP Individual | Nurse Practitioner | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-8330 |
| 1093754962 | CLARINDA REGIONAL HEALTH CENTER AMBULANCE Organization | Ambulance | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1366486946 | CLARINDA REGIONAL HEALTH CENTER Organization | General Acute Care Hospital (Critical Access) | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1255489647 | CLARINDA REGIONAL HEALTH CENTER Organization | Medicare Defined Swing Bed Unit | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1477690519 | CLARINDA REGIONAL HEALTH CENTER ER Organization | Clinic/Center (Emergency Care) | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1093833600 | CLARINDA MEDICAL ASSOCIATES Organization | Nurse Practitioner | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-8330 |
| 1679691281 | CLARINDA REGIONAL HEALTH CENTER Organization | Nurse Practitioner | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1538287156 | CLARINDA REGIONAL HEALTH CENTER Organization | Nurse Anesthetist, Certified Registered | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1275914368 | TALISHA I FURST ARNP Individual | Nurse Practitioner | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1881633956 | CAROL FAYE NIELSEN ARNP Individual | Nurse Practitioner | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
| 1689039380 | MOLLY J GILMORE MS, RD, LD Individual | Dietitian, Registered | 220 ESSIE DAVISON DR CLARINDA, IA 51632 (712) 542-2176 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760572713, enumerated in the NPI registry as an "individual" on October 13, 2006
The provider is located at 220 Essie Davison Dr Clarinda, Ia 51632 and the phone number is (712) 542-2176
The provider's speciality is Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.84 with an average copayment of $20.46 for new patient appointments. Established patients should expect a typical charge of $66.36 and an average copayment of 16.59. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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