Individual provider Active NPI

Andrew Douglas Stone, M.D.

  • Gastroenterology Physician
  • Brockton, MA
National Provider Identifier
1497795561
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12037 Issued in RI
Practice address
189 Quincy St
Brockton, MA 02302-2926
Phone
(508) 588-6700
Fax
(508) 584-3010
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12037 RI Primary

Addresses

Primary practice location

189 Quincy St
Brockton, MA 02302-2926

Mailing address

189 Quincy St
Brockton, MA 02302-2926
Phone (508) 588-6700

Other identifiers 1

IdentifierTypeStateIssuer
1497795561MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000572 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 6002810207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gis Services 2 LLCGroup PAC ID 1355674755, 10 clinicians
Gastrointestinal Specialists, LLCGroup PAC ID 9638107451, 10 clinicians

Practice addresses (Care Compare)

189 Quincy St
Brockton, MA 02302-2967
Phone (508) 588-6700

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

Merit-based Incentive Payment System (MIPS)

Final score
75.73 of 100Reported as apm
Quality
60.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy110
Upper gastrointestinal (GI) endoscopy for acid reflux117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12037RIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists, LLC Gastroenterology CurrentSince Aug 1, 2009 Accepting new patients
Signature Healthcare Medical Group Inc Gastroenterology CurrentSince Aug 1, 2009 Accepting new patients

Locations

189 Quincy St
Brockton, MA 02302
Phone (508) 588-6700

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1 Donalds Way
Ste 203
East Bridgewater, MA 02333
Phone (508) 350-2940

35 Summer St
Ste 201
Taunton, MA 02780
Phone (508) 821-4100

Interoperability endpoints

  • Direct secure messaging: astone449788@direct.bilh.masshiway.net
  • Direct secure messaging: andrew.stone@direct.signature.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1497795561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022926",
            "telephone_number": "508-588-6700",
            "fax_number": "508-584-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022926",
            "telephone_number": "508-588-6700",
            "fax_number": "508-584-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "ANDREW",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "12037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497795561",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.