Physician

John L Stone, M.D.

According to 2025 Medicare claims, John Stone, M.D. (NPI: 1033115373) practices ophthalmology in the Chattanooga, TN-GA market, with the plurality of this provider's patient population coming from Hamilton, TN. This provider's primary affiliated billing organization is SOUTHEAST EYE SPECIALISTS PLLC (NPI: 1518961176; TIN: 621791165) and primary practice location at 37421-3097.

Stone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 939 traditional Medicare patients, billed 48,603 HCPCS/CPT codes, and received $2,787,522 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 864 prescription claims across 190 beneficiaries totaling $26,413 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 28 records totaling $928. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $918,434 to $2,787,522. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.4M$2.8M2015 Medicare payment: $918,434 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,002,409 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $596,453 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $584,842 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $682,609 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $577,847 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $552,021 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $540,490 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $764,432 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,787,522 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159529,947$918,434
20169839,820$1,002,409
20179339,899$596,453
20188899,124$584,842
20198689,620$682,609
20207777,588$577,847
20217717,463$552,021
20227237,310$540,490
20236448,060$764,432
202493948,603$2,787,522

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$46K$92K2015 Drug cost: $73,458 (USD; Tot_Drug_Cst)2016 Drug cost: $73,923 (USD; Tot_Drug_Cst)2017 Drug cost: $73,904 (USD; Tot_Drug_Cst)2018 Drug cost: $87,279 (USD; Tot_Drug_Cst)2019 Drug cost: $73,641 (USD; Tot_Drug_Cst)2020 Drug cost: $92,260 (USD; Tot_Drug_Cst)2021 Drug cost: $89,663 (USD; Tot_Drug_Cst)2022 Drug cost: $76,076 (USD; Tot_Drug_Cst)2023 Drug cost: $49,982 (USD; Tot_Drug_Cst)2024 Drug cost: $26,413 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015191713$73,458
2016143583$73,923
2017204931$73,904
2018200993$87,279
2019201974$73,641
20202331,273$92,260
20212551,309$89,663
20222331,158$76,076
20232201,141$49,982
2024190864$26,413

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
J0178Injection, aflibercept, 1 mg2741,859$648
67028Injection of drug into eye5451,911$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more367411$87
92134Imaging of retina8642,277$29
J2777Injection, faricimab-svoa, 0.1 mg19339,842$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate1716,099$6,530
LumiganBimatoprost11355$3,128
LatanoprostLatanoprost21513,754$2,641
Ketorolac TromethamineKetorolac Tromethamine722,351$1,520
Brimonidine TartrateBrimonidine Tartrate593,323$1,515

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.28$928Regeneron Healthcare Solutions, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for John L. Stone, M.D.?

Tedicare shows public-source Medicare data for John L. Stone, M.D. (NPI 1033115373), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does John L. Stone, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to John L. Stone, M.D.?

John L. Stone, M.D. is linked to SOUTHEAST EYE SPECIALISTS PLLC (billing NPI 1518961176) in the available physician profile data.

Does John L. Stone, M.D. have Open Payments data?

John L. Stone, M.D. has 28 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.