Individual provider Active NPI

Thomas W Stone, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Louisville, KY
National Provider Identifier
1528064219
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
37096 Issued in KY
Practice address
6450 Dutchmans Pkwy
Louisville, KY 40205-3338
Phone
(859) 263-3900
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 37096 KY
Retina Specialist (Ophthalmology) Physician 207WX0107X 37096 KY Primary

Addresses

Primary practice location

6450 Dutchmans Pkwy
Louisville, KY 40205-3338

Mailing address

120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827
Phone (859) 263-3900

Other practice location 1

120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827
Phone (859) 263-3900

Other identifiers 3

IdentifierTypeStateIssuer
1811027000MedicaidWV
64045701MedicaidKY
2318370MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110215000636 KY Practitioner - Ophthalmology 1052591567 Reassigns benefits to 1 organization
I20200421000379 IN Practitioner - Ophthalmology 1052591567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina and Vitreous Associates of Kentucky PLLCGroup PAC ID 0749183648, 13 clinicians

Practice addresses (Care Compare)

120 N Eagle Creek Dr
Suite 104
Lexington, KY 40509-1827
Phone (859) 263-3900

73 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (800) 627-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37096KYMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: thomas.stone@direct.rak.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1528064219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 DUTCHMANS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053338",
            "telephone_number": "859-263-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Eagle Creek Dr",
            "address_2": "Ste 500",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091827",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "37096",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "37096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811027000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64045701",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2318370",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.