2026 NPPES data Gynecology Physician NPI 1093721078 M.D.
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MONICA STONE, M.D.

Gynecology Physician in GREENSBURG, Kentucky. 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
5K
Medicare Part D claims · 295 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
58.7122/100
▼ 24 pts below national avg 83.1 · [object Object]
What the federal data reveals: MONICA STONE, M.D. is a Gynecology Physician ([object Object]) practicing in GREENSBURG, Kentucky with a Medicare Part D prescribing footprint of 5K claims across 295 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 58.7122/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MONICA STONE, M.D. reported a CMS MIPS final score of 58.7122 out of 100, below the 83.1 national average, and filed 5,380 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MONICA STONE, M.D. 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).

MONICA STONE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/31/2006

NPI 1093721078

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

5,380 1724% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

58.7122/100 24.38779999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Kentucky

How Gynecology Physician compares to other specialties among Kentucky providers

Kentucky providers

Gynecology Physician share within Kentucky

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

Medicare quality performance — MIPS

MONICA STONE, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average

Below national average
MIPS Final Score
58.7122/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 58.7122/100 vs national avg 83.1

0%100%National avg83%58.7%
MIPS final score (Gynecology Physician) — 58.7122/100 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).

MONICA STONE, M.D. is a Gynecology Physician provider practicing in GREENSBURG, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1093721078. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MONICA STONE, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 462 COMMERCE DRIVE, GREENSBURG, KY, 42743, with a listed phone of (270) 932-2424. NPI 1093721078 was issued on 07/31/2006. 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 5,380 prescription claims written by this provider, covering 295 Medicare beneficiaries and totaling roughly $532K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 1.5%. 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 58.7122/100 for the 2023 performance year (Quality 46.4413), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

462 COMMERCE DRIVE
GREENSBURG, KY 42743

Provider Details

NPI 1093721078
Specialty Gynecology Physician
Credentials M.D.
Gender Female
NPI Issued 07/31/2006

CMS Quality Score (MIPS)

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

58.7122
Final Score
Avg: 83.1
46.4413
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where MONICA 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.

CUMBERLAND FAMILY MEDICAL CENTER INC
GAMALIEL, KY
PT PROS, INC
GREENSBURG, KY

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

Brand vs generic prescribing mix · Typical

MONICA STONE, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 5,380 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.

5,380
Total Claims
$532K
Total Drug Cost
295
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,223
Total Day Supply
324,371
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$455K
Generic Drug Cost
$72K
Opioid Claims
82 (1.5% rate)
Antibiotic Claims
281

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
0.98
Gender Split
68% female / 32% male
Age Distribution
<65: 23, 65-74: 140, 75-84: 102, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
308
Metoprolol Succinate
190
Atorvastatin Calcium
170
Simvastatin
156
Amlodipine Besylate
149
Famotidine
146
Pantoprazole Sodium
144
Lisinopril
125
Sertraline Hcl
115
Omeprazole
107

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

Gynecology Physician Overview

How MONICA STONE, M.D. fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

MONICA STONE, M.D.'s 5,380 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is MONICA STONE, M.D.'s specialty?
MONICA STONE, M.D. specializes in Gynecology Physician and practices in GREENSBURG, Kentucky. Credentials: M.D..
How much does MONICA STONE, M.D. prescribe under Medicare Part D?
In 2023, MONICA STONE, M.D. wrote 5,380 Medicare Part D claims totaling $532K in drug costs for 295 beneficiaries.
What is MONICA STONE, M.D.'s Medicare quality score?
MONICA STONE, M.D. has a CMS MIPS Final Score of 58.7122/100 (Quality: 46.4413). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MONICA STONE, M.D. located?
MONICA STONE, M.D. is located at 462 COMMERCE DRIVE, GREENSBURG, KY, 42743. Phone: (270) 932-2424.
What is MONICA STONE, M.D.'s NPI number?
MONICA STONE, M.D.'s National Provider Identifier (NPI) is 1093721078, issued on 07/31/2006.
Does MONICA STONE, M.D. prescribe more brand-name or generic drugs?
MONICA STONE, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $455K in brand drug costs.
Does MONICA STONE, M.D. prescribe opioids?
Yes, MONICA STONE, M.D. had 82 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does MONICA STONE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MONICA STONE, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Metoprolol Succinate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MONICA STONE, M.D. accept Medicare?
MONICA STONE, M.D. appears in CMS Medicare data with 5,380 Part D claims and 295 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONICA STONE, M.D.'s credentials?
MONICA STONE, M.D.'s NPI is 1093721078 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