2026 NPPES data Specialist NPI 1477535136 M.D.
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ROSS STONE, M.D.

Specialist in ATLANTIS, Florida. 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
2K
Medicare Part D claims · 558 beneficiaries · Specialist avg: 1K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
5.4729/100
▼ 78 pts below national avg 83.1 · [object Object]
Industry payments
$12.5K
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ROSS STONE, M.D. reported a CMS MIPS final score of 5.4729/100 — below the 83.1 national average — and filed 2,186 Medicare Part D claims in 2023.

5.4729/100
MIPS score · -78 vs avg
2K
Part D claims, 2023
99%
generic prescribing
$12.5K
industry payments (Sunshine Act)

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.

ROSS 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

5 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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

What does the federal data show about ROSS STONE, M.D.?

Below national average

NPI registry status

Active

Issued 11/17/2005

NPI 1477535136

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

2,186 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

5.4729/100 77.6271% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Florida

How Specialist compares to other specialties among Florida providers

Florida providers

Specialist share within Florida

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Florida

Medicare quality performance — MIPS

ROSS STONE, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
5.4729/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 5.4729/100 vs national avg 83.1

0%100%National avg83%5.5%
MIPS final score (Specialist) — 5.4729/100 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).

ROSS STONE, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 120 JFK DR, ATLANTIS, FL, 33462, with a listed phone of (561) 965-5700. NPI 1477535136 was issued on 11/17/2005. 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 2,186 prescription claims written by this provider, covering 558 Medicare beneficiaries and totaling roughly $31K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 43.7%. 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 5.4729/100 for the 2023 performance year (Quality 0, Cost 18.243), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

120 JFK DR
ATLANTIS, FL 33462

Provider Details

NPI 1477535136
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 11/17/2005

CMS Quality Score (MIPS)

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

5.4729
Final Score
Avg: 83.1
0
Quality
18.243
Cost

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ROSS STONE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$12.5K

Largest payer

Citieffe, Inc.

Most common payment type

Consulting Fee

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to ROSS STONE, M.D.. To verify ROSS STONE, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ROSS STONE, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 2,186 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.

2,186
Total Claims
$31K
Total Drug Cost
558
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,669
Total Day Supply
55,966
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$4K
Generic Drug Cost
$27K
Opioid Claims
956 (43.7% rate)
Antibiotic Claims
72

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.93
Gender Split
66% female / 34% male
Age Distribution
<65: 45, 65-74: 238, 75-84: 187, 85+: 88

Top Prescribed Drugs (Medicare Part D)

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

What ROSS STONE, M.D. 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
Meloxicam
545
Tramadol Hcl
475
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
337
Methocarbamol
195
Diclofenac Sodium
95
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
67
Oxycodone Hcl
64
Cyclobenzaprine Hcl
58
Celecoxib
52
Gabapentin
49

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

Specialist Overview

How ROSS STONE, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

ROSS STONE, M.D.'s 2,186 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Florida

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROSS STONE, M.D.'s specialty?
ROSS STONE, M.D. specializes in Specialist and practices in ATLANTIS, Florida. Credentials: M.D..
How much does ROSS STONE, M.D. prescribe under Medicare Part D?
In 2023, ROSS STONE, M.D. wrote 2,186 Medicare Part D claims totaling $31K in drug costs for 558 beneficiaries.
What is ROSS STONE, M.D.'s Medicare quality score?
ROSS STONE, M.D. has a CMS MIPS Final Score of 5.4729/100 (Quality: 0, Cost: 18.243). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROSS STONE, M.D. located?
ROSS STONE, M.D. is located at 120 JFK DR, ATLANTIS, FL, 33462. Phone: (561) 965-5700.
What is ROSS STONE, M.D.'s NPI number?
ROSS STONE, M.D.'s National Provider Identifier (NPI) is 1477535136, issued on 11/17/2005.
Does ROSS STONE, M.D. prescribe more brand-name or generic drugs?
ROSS STONE, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $4K in brand drug costs.
Does ROSS STONE, M.D. prescribe opioids?
Yes, ROSS STONE, M.D. had 956 opioid claims in 2023 with an opioid prescribing rate of 43.7%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does ROSS STONE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROSS STONE, M.D.'s most frequently prescribed drugs include Meloxicam, Tramadol Hcl, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROSS STONE, M.D. accept Medicare?
ROSS STONE, M.D. appears in CMS Medicare data with 2,186 Part D claims and 558 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROSS STONE, M.D.'s credentials?
ROSS STONE, M.D.'s NPI is 1477535136 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