NPPES file of Aug 9, 2026

James W. Stone, MD

Orthopaedic Surgery Physician · Milwaukee, WI

James W. Stone, MD is an orthopaedic surgery physician with a practice address in Milwaukee, Wisconsin, and NPI 1295839298, issued on Sep 11, 2006. Check the license (Wisconsin 30262, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295839298
Name
James W. Stone
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
30262 WI
Self-reported in NPPES; status is on the state search
Practice location
3237 S 16TH St, Milwaukee, WI 53215
Phone
(414) 384-6700
Enumerated
Sep 11, 2006
Record last updated
Feb 25, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(414) 384-3008
Medicaid ID
31559200 WI
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3237 S 16TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Eileen Abrams, PSY.DClinical Psychologist1730855172
  2. Eili AdamsNurse's Aide1750958930
  3. Francisco Aguilar, M.D.Infectious Disease Physician1326197831
  4. Yassir Ahmed, M.D.Hospitalist Physician1689068942
  5. Arthur Arena, MDObstetrics & Gynecology Physician1376583286
  6. Michael Armstrong, MDEmergency Medicine Physician1336191162

Verify James W. Stone in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 30262
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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58% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024

146 Medicare Part D claims for 73 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 11 claims were for opioids.

  1. James Stone146
  2. Specialty average346

Most prescribed

  1. Amoxicillin82 claims
  2. Clindamycin Hcl21 claims
  3. Meloxicam14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 81.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score78.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $95.44

1 payment: acquisitions; the largest payer was Zimmer Biomet Holdings, Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Stone$95
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

James W. Stone among 656 orthopaedic surgery physician records in Wisconsin

James W. Stone, MD is one of 656 orthopaedic surgery physician records with a practice address in Wisconsin. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.

  • NPI issued2006 · 15% of these records are older, 41% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileNo · 61% of these records are
  • Record last updated2020 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in Wisconsin

There are 656 orthopaedic surgery physician records in Wisconsin.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Jeffrey Butler, MDMilwaukee, WI 532151285738286
  2. Robert Diulio, M.D.Milwaukee, WI 532151023086121
  3. Christopher Evanich, M.D.Milwaukee, WI 532151760451850
  4. Benjamin KnightMilwaukee, WI 532151851823066
  5. Navjot Kohli, M.D.Milwaukee, WI 532151831179506
  6. Daniel Ladwig, M.D.Milwaukee, WI 532151467420646
  7. Jonathan Lester, MDMilwaukee, WI 532151659660793
  8. Matthew Mellon, M.D.Milwaukee, WI 532151336302504

Common questions

What is James W. Stone, MD's NPI number?

James W. Stone, MD's National Provider Identifier (NPI) is 1295839298, issued on Sep 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James W. Stone, MD located?

The NPPES record lists a practice address at 3237 S 16TH St, Milwaukee, WI, 53215. Phone: (414) 384-6700. Providers update this record themselves, so call before visiting.

How can I verify James W. Stone, MD's license?

NPPES lists Wisconsin license number 30262, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James W. Stone, MD prescribe under Medicare Part D?

In 2024, James W. Stone, MD had 146 Medicare Part D claims for 73 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is James W. Stone, MD's MIPS final score?

The 2023 MIPS final score is 81.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.