Theresa Stone, M.D.
NPI 1538186176 · Internal Medicine Physician · Washington, DC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Stone, M.D. is a Internal Medicine Physician provider in Washington, DC (NPI 1538186176).
Provider details
- NPI number
- 1538186176
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD31162 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
547 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 279 | $148 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 68 | $107 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 55 | $153 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 40 | $19 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 33 | $146 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 161 | 55 |
| Amlodipine Besylate | 128 | 47 |
| Levothyroxine Sodium | 92 | 30 |
| Rosuvastatin Calcium | 92 | 30 |
| Hydrochlorothiazide | 62 | 19 |
| Zolpidem Tartrate | 58 | 11 |
| Fluticasone Propionate | 51 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$111 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2026-05-17
Frequently asked questions
- What is Theresa Stone's NPI number?
- Theresa Stone's National Provider Identifier (NPI) is 1538186176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Stone's specialty?
- Theresa Stone is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theresa Stone located?
- Theresa Stone's practice location on file with NPPES is 1145 19th St Nw, Washington, DC 20036-3701.
- What is Theresa Stone's phone number?
- The practice phone number listed in the NPPES registry for Theresa Stone is (202) 223-5333.
- Does Theresa Stone accept Medicare?
- Theresa Stone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Stone's NPI active?
- Yes — Theresa Stone's NPI (1538186176) is active in the NPPES registry as of the last update on 2026-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.