NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1093721078 M.D.
Verify on CMS → Monica Stone, M.D.
Gynecology Physician in Greensburg, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,906 in Gynecology Physician, 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
5K
Medicare Part D claims · 295 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
58.7/100
▼ 24 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Monica Stone, M.D. reported a CMS MIPS final score of 58.7/100 - below the 83.1 national average - and filed 5,380 Medicare Part D claims in 2023.
- 58.7/100
- MIPS score · -24 vs avg
- 5K
- Part D claims, 2023
- 85%
- generic prescribing
- 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.
Monica 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
59 5th percentile higher than 5% of 477,587 scored providers
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 Monica Stone, M.D. sits
This provider among gynecology physician peers
Across the 551 gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Monica Stone, M.D. writes more Part D claims than 100% of them and scores higher on MIPS quality than 6% - placing this provider in the high-volume, lower-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
Each dot is one gynecology physician peer from a representative sample of 60; the gold marker is Monica Stone, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Monica Stone, M.D.?
Below national averagePrimary specialty
Gynecology Physician
Medicare Part D claims
5,380 18× vs specialty avg
MIPS final score
58.7/100 24.4 pts vs avg
Specialty distribution in Kentucky
How Gynecology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Monica Stone, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average
- MIPS Final Score
- 58.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gynecology Physician) - 58.7/100 vs national avg 83.1
How MIPS and board certification work
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. 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.
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 85% generic by claim count, with an opioid prescribing rate of 1.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 58.7/100 for the 2023 performance year (Quality 46.4), compared with the national average of 83.1.
Gynecology Physician is a narrow specialty nationwide, with 3,906 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
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%
Gynecology Physician average
14% brand-name claims vs 85% 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 / 85% 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.
What Monica Stone, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
308 claims
- Metoprolol Succinate
Metoprolol Succinate
190 claims
- Atorvastatin Calcium
Atorvastatin Calcium
170 claims
- Simvastatin
Simvastatin
156 claims
- Amlodipine Besylate
Amlodipine Besylate
149 claims
- Famotidine
Famotidine
146 claims
- Pantoprazole Sodium
Pantoprazole Sodium
144 claims
- Lisinopril
Lisinopril
125 claims
| 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.
3,906
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.
Dr. Sylvia Beimfohr
MD
Louisville, KY
Dr. Thomas Benninger
M.D.
Louisville, KY
Dr. Jack Blackstone, Jr.
M.D.
Owensboro, KY
Dr. Stacy Boulton
MD
Florence, KY
Dr. Johnny Bryant
MD
Paducah, KY
Compare Gynecology Physician 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gynecology Physician 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.
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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 58.7/100 (Quality: 46.4). 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 85% 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 3,906 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
View source datasets and methodology notes
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.