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.
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.
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 averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Gynecology Physician compares to other specialties among Kentucky providers
Gynecology Physician share within Kentucky
Gynecology Physician is one of the more visible NUCC categories in Kentucky
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
MONICA STONE, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Gynecology Physician US NPIs
58.7122/100 MIPS final score — 24.4 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Gynecology Physician. Quality dim: 46.4413.
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
Provider Details
| NPI | 1093721078 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 07/31/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MONICA STONE, M.D.'s current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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
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.
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.
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 →
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Frequently Asked Questions
What is MONICA STONE, M.D.'s specialty? ▼
How much does MONICA STONE, M.D. prescribe under Medicare Part D? ▼
What is MONICA STONE, M.D.'s Medicare quality score? ▼
Where is MONICA STONE, M.D. located? ▼
What is MONICA STONE, M.D.'s NPI number? ▼
Does MONICA STONE, M.D. prescribe more brand-name or generic drugs? ▼
Does MONICA STONE, M.D. prescribe opioids? ▼
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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