ANDREW DOUGLAS STONE (M.D.) – Gastroenterology Physician, NPI 1497795561

ANDREW DOUGLAS STONE (M.D.) is a healthcare provider. based in Brockton, Massachusetts. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 12037 (RI). The NPI Number for ANDREW DOUGLAS STONE (M.D.) is 1497795561

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DOUGLAS STONE (M.D.)
NPI
1497795561
Phone
(508) 588-6700
Address
189 QUINCY ST
Enumeration Date
7 June 2006
Last Update Date
25 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085886700
Graduation Year
2000 (26 years ago)
PAC ID
6002810207
Group Practice PAC ID
9638107451
Professional Enrollment ID
I20091118000572
Address ID
MA023022967BR189XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

829 GASTROENTEROLOGY in MA

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Provider Addresses for ANDREW DOUGLAS STONE (M.D.)

  • 189, Quincy Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023022926

    Phone: (508) 588-6700

    Fax: (508) 584-3010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($125).

Total Amount

$305

General + Research + Ownership

Payments

6

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091118000572IGastroenterologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes172133$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare123122$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9595$0
99204New patient office or other outpatient visit, 45-59 minutes6666$0
45380Biopsy of large bowel using a flexible endoscope6261$0
View full utilization report →

Insurance plans in this area (ZIP 02302)

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Provider's Procedures

ANDREW DOUGLAS STONE (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope1818
GASTROENTEROLOGYMA45385Removal of polyps or growths of large bowel using an endoscope129129

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638107451View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMI
Gastroenterology, Internal MedicineMA
Gastroenterology, Internal MedicineMA
G A S T R O E N T E R O L O G YMA
G A S T R O E N T E R O L O G YMA
Nurse PractitionerMA
G A S T R O E N T E R O L O G YMA
Physician AssistantMA
-MA

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Frequently asked questions

How do I look up ANDREW DOUGLAS STONE (M.D.) by NPI?
Use NPI 1497795561 when you need to reference ANDREW DOUGLAS STONE (M.D.) in forms, claims, or directories.
Is ANDREW DOUGLAS STONE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANDREW DOUGLAS STONE (M.D.) list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for ANDREW DOUGLAS STONE (M.D.). Clinical services aligned with this taxonomy classification.
Where is ANDREW DOUGLAS STONE (M.D.)'s primary listing?
We display Brockton, Massachusetts because that is what the record indicates for ANDREW DOUGLAS STONE (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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