2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1578958286 M.D
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James Stone, M.D

Student in an Organized Health Care Education/Training Program in Harlingen, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,761 in Student in an Organized Health Care Education/Training Program, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 296 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.3/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$357.31
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Stone, M.D reported a CMS MIPS final score of 98.3/100 - above the 83.1 national average - and filed 1,807 Medicare Part D claims in 2023.

98.3/100
MIPS score · +15 vs avg
2K
Part D claims, 2023
88%
generic prescribing
$357.31
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

James Stone, M.D's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

98 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Stone, M.D sits

This provider among student in an organized health care education/training program peers

Across the 12,645 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, James Stone, M.D writes more Part D claims than 88% of them and scores higher on MIPS quality than 89% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 30James Stone, M.D-Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 89
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is James Stone, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about James Stone, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 03/30/2015

NPI 1578958286

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

1,807 294% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

98.3/100 15.2 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Student in an Organized Health Care Education/Training Program compares to other specialties among Texas providers

Texas providers

Largest specialties in Texas (% of in-state providers)

Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

James Stone, M.D's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
98.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) - 98.3/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Student in an Organized Health Care Education/Training Program) - 98.3/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

James Stone, M.D appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D credentials at 2310 N ED CAREY DR STE 1A, Harlingen, TX, 78550, with a listed phone of (956) 428-5522. NPI 1578958286 was issued on 03/30/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Stone most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,807 prescription claims written by this provider, covering 296 Medicare beneficiaries and totaling roughly $281K in drug spend, split 12% brand-name and 88% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.3/100 for the 2023 performance year (Quality 80.6), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2310 N ED CAREY DR STE 1A
Harlingen, TX 78550

Provider Details

NPI 1578958286
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D
Gender Male
NPI Issued 03/30/2015

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

98.2771
Final Score
Avg: 83.1
80.6179
Quality
93.2273
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where James Stone, M.D bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Hmc Rgv Physicians Group
Harlingen, TX
South Heart Clinic, PLLC
Harlingen, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for James Stone, M.D. Source: openpaymentsdata.cms.gov.

Total received

$357

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to James Stone, M.D. To verify James Stone, M.D's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

James Stone, M.D - brand share 12.0%
Student in an Organized Health Care Education/Training Program average

12% brand-name claims vs 88% generic, on 1,807 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,807
Total Claims
$281K
Total Drug Cost
296
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,446
Total Day Supply
132,988
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$247K
Generic Drug Cost
$34K

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.98
Gender Split
45% female / 55% male
Age Distribution
<65: 39, 65-74: 160, 75-84: 78, 85+: 19

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What James Stone, M.D prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Metoprolol Succinate
269
Atorvastatin Calcium
203
Amlodipine Besylate
124
Losartan Potassium
115
Clopidogrel
Clopidogrel Bisulfate
107
Eliquis
Apixaban
106
Carvedilol
103
Hydrochlorothiazide
84
Lisinopril
83
Spironolactone
69

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Student in an Organized Health Care Education/Training Program Overview

How James Stone, M.D fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

James Stone, M.D's 1,807 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Stone.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is James Stone, M.D's specialty?
James Stone, M.D specializes in Student in an Organized Health Care Education/Training Program and practices in Harlingen, Texas. Credentials: M.D.
How much does James Stone, M.D prescribe under Medicare Part D?
In 2023, James Stone, M.D wrote 1,807 Medicare Part D claims totaling $281K in drug costs for 296 beneficiaries.
What is James Stone, M.D's Medicare quality score?
James Stone, M.D has a CMS MIPS Final Score of 98.3/100 (Quality: 80.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Stone, M.D located?
James Stone, M.D is located at 2310 N ED CAREY DR STE 1A, Harlingen, TX, 78550. Phone: (956) 428-5522.
What is James Stone, M.D's NPI number?
James Stone, M.D's National Provider Identifier (NPI) is 1578958286, issued on 03/30/2015.
Does James Stone, M.D prescribe more brand-name or generic drugs?
James Stone, M.D's prescribing is 12% brand-name and 88% generic drugs by claim count, with $247K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does James Stone, M.D prescribe most often?
Based on 2023 Medicare Part D data, James Stone, M.D's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Stone, M.D accept Medicare?
James Stone, M.D appears in CMS Medicare data with 1,807 Part D claims and 296 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Stone, M.D's credentials?
James Stone, M.D's NPI is 1578958286 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.