2026 NPPES data Rheumatology Physician NPI 1003865353 MD
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KERRY STONE, MD

Rheumatology Physician in EAST NORRITON, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 569 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

KERRY STONE, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 4,146 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
4K
Part D claims, 2023
Likely
board-certified (heuristic)

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.

KERRY STONE, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

KERRY STONE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about KERRY STONE, MD?

Below national average

NPI registry status

Active

Issued 05/06/2006

NPI 1003865353

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

4,146 102% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Rheumatology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Rheumatology Physician share within Pennsylvania

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Pennsylvania

Medicare quality performance — MIPS

KERRY STONE, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Rheumatology Physician) — 75/100 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).

KERRY STONE, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 170 W. GERMANTOWN PIKE, EAST NORRITON, PA, 19401, with a listed phone of (610) 277-2750. NPI 1003865353 was issued on 05/06/2006. 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 4,146 prescription claims written by this provider, covering 569 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, with an opioid prescribing rate of 8.0%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

170 W. GERMANTOWN PIKE
EAST NORRITON, PA 19401

Provider Details

NPI 1003865353
Specialty Rheumatology Physician
Credentials MD
Gender Female
NPI Issued 05/06/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where KERRY STONE, MD 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.

PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, PA
RHEUMATOLOGY ASSOCIATES LTD
COLMAR, PA

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

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to KERRY STONE, MD. To verify KERRY STONE, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

4,146
Total Claims
$1.1M
Total Drug Cost
569
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,395
Total Day Supply
217,677
Generic Drug Cost
$117K
Opioid Claims
332 (8.0% rate)
Antibiotic Claims
48

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.49
Gender Split
80% female / 20% male
Age Distribution
<65: 59, 65-74: 275, 75-84: 186, 85+: 49

Top Prescribed Drugs (Medicare Part D)

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

What KERRY STONE, MD 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
Hydroxychloroquine Sulfate
443
Methotrexate
Methotrexate Sodium
412
Prednisone
315
Gabapentin
264
Meloxicam
253
Duloxetine Hcl
233
Celecoxib
187
Alendronate Sodium
155
Tramadol Hcl
137
Allopurinol
110

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

Rheumatology Physician Overview

How KERRY STONE, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

KERRY STONE, MD's 4,146 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Pennsylvania

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KERRY STONE, MD's specialty?
KERRY STONE, MD specializes in Rheumatology Physician and practices in EAST NORRITON, Pennsylvania. Credentials: MD.
How much does KERRY STONE, MD prescribe under Medicare Part D?
In 2023, KERRY STONE, MD wrote 4,146 Medicare Part D claims totaling $1.1M in drug costs for 569 beneficiaries.
What is KERRY STONE, MD's Medicare quality score?
KERRY STONE, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KERRY STONE, MD located?
KERRY STONE, MD is located at 170 W. GERMANTOWN PIKE, EAST NORRITON, PA, 19401. Phone: (610) 277-2750.
What is KERRY STONE, MD's NPI number?
KERRY STONE, MD's National Provider Identifier (NPI) is 1003865353, issued on 05/06/2006.
Does KERRY STONE, MD prescribe opioids?
Yes, KERRY STONE, MD had 332 opioid claims in 2023 with an opioid prescribing rate of 8.0%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does KERRY STONE, MD prescribe most often?
Based on 2023 Medicare Part D data, KERRY STONE, MD's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Methotrexate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KERRY STONE, MD accept Medicare?
KERRY STONE, MD appears in CMS Medicare data with 4,146 Part D claims and 569 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KERRY STONE, MD's credentials?
KERRY STONE, MD's NPI is 1003865353 with credentials MD. 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