NPPES file of Aug 9, 2026

Thomas W. Stone, M.D.

Retina Specialist (Ophthalmology) Physician · Louisville, KY

Thomas W. Stone, M.D. is a retina specialist (ophthalmology) physician with a practice address in Louisville, Kentucky, and NPI 1528064219, issued on Jun 27, 2005. Check the license (Kentucky 37096, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1528064219
Name
Thomas W. Stone
Credential
M.D.
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License number
37096 KY
Self-reported in NPPES; status is on the state search
Practice location
6450 Dutchmans Pkwy, Louisville, KY 40205
Phone
(859) 263-3900
Enumerated
Jun 27, 2005
Record last updated
Jul 12, 2023
Medicaid IDs
1811027000 WV
64045701 KY
2318370 OH
Medicare enrollment
Enrolled (PECOS I20110215000636); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 6450 Dutchmans Pkwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Susan Leavenworth, PH.D.Psychologist1376748814

Verify Thomas W. Stone in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 37096
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

4% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

597 Medicare Part D claims for 313 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 35% of claims.

  1. Thomas Stone597
  2. Specialty average620

Most prescribed

  1. Neomycin-Polymyxin-Dexameth240 claims
  2. Latanoprost61 claims
  3. Prednisolone Acetate58 claims
  4. Timolol Maleate30 claims
  5. Combigan29 claims
  6. Difluprednate28 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $15,634.33

67 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Thomas Stone$15,634
  2. Specialty average$7,667

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Retina And Vitreous Associates OF Kentucky PLLCLexington, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Thomas W. Stone among 23 retina specialist (ophthalmology) physician records in Kentucky

Thomas W. Stone, M.D. is one of 23 retina specialist (ophthalmology) physician records with a practice address in Kentucky. 96% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 74% newer
  • In a Medicare fileYes · 96% of these records are
  • In the CMS Doctors and Clinicians fileYes · 91% of these records are
  • Graduated1995 · median 2003 among the 21 with a school on file
  • Record last updated2023 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Kentucky

There are 23 retina specialist (ophthalmology) physician records in Kentucky.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Aditya Verma, MDLouisville, KY 402021255054698
  2. Aditya Bansal, MDLexington, KY 405081457137614
  3. Ana Bastos De CarvalhoLexington, KY 405081245763747
  4. Peter Blackburn, MDLexington, KY 405081336196815
  5. Leanne Clevenger, MDLexington, KY 405081245735414
  6. Claire Fraser, M.D., PH.D.Lexington, KY 405081063658003
  7. Eric Higgins, M.D.Lexington, KY 405081790814556
  8. Paul Pearson, MDLexington, KY 405081992745871

Common questions

What is Thomas W. Stone, M.D.'s NPI number?

Thomas W. Stone, M.D.'s National Provider Identifier (NPI) is 1528064219, issued on Jun 27, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Thomas W. Stone, M.D. located?

The NPPES record lists a practice address at 6450 Dutchmans Pkwy, Louisville, KY, 40205. Phone: (859) 263-3900. Providers update this record themselves, so call before visiting.

How can I verify Thomas W. Stone, M.D.'s license?

NPPES lists Kentucky license number 37096, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Thomas W. Stone, M.D. prescribe under Medicare Part D?

In 2024, Thomas W. Stone, M.D. had 597 Medicare Part D claims for 313 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Thomas W. Stone, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.