Provider profile

James StoneMD

Orthopaedic Surgery

NPI 1295839298
3237 S 16th St, Suite 210, Milwaukee, WI 53215414-384-6700

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Medicare Advantage plans for Milwaukee County, WI.

Checked Oct 25, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 40 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list James on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 50 Medicare Advantage plans we show for Milwaukee County, WI in 2027

  • 40 list James
  • 9 not listed
  • 1 not checked yet

Humana

16 plans list James.

16plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3077 N Mayfair Rd, Ste 100, Milwaukee, WI, 53222
    • 2500 W Layton Ave, Ste 160, Milwaukee, WI, 53221

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-011-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3077 N Mayfair Rd, Ste 100, Milwaukee, WI, 53222
    • 2500 W Layton Ave, Ste 160, Milwaukee, WI, 53221

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-410-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3077 N Mayfair Rd, Ste 100, Milwaukee, WI, 53222
    • 2500 W Layton Ave, Ste 160, Milwaukee, WI, 53221

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-020-000Medicare.gov
    $0a month
  • Humana Total Complete (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3077 N Mayfair Rd, Ste 100, Milwaukee, WI, 53222
    • 2500 W Layton Ave, Ste 160, Milwaukee, WI, 53221

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-001-000Medicare.gov
    $0a month

UnitedHealthcare

8 plans list James; not listed on 4 other plans.

8plans
  • AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-033-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-199-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4 starsH5253-021-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC WI-0010 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-004-000Medicare.gov
    $57a month

Aetna Medicare

6 plans list James.

6plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Ste 200, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 205, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 235, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132
    • 10101 S 27th St, Fl 1, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-286-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2500 W Layton Ave, Ste 160, Milwaukee, WI, 53221
    • 3033 W Layton Ave, Ste 102, Greenfield, WI, 53221
    • 201 N Mayfair Rd, Wauwatosa, WI, 53226
    • 3111 W Rawson Ave, Ste 200, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 205, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 235, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132
    • 13950 W Capitol Dr, Brookfield, WI, 53005
    • 10101 S 27th St, Fl 1, Franklin, WI, 53132
    • 12831 N Port Washington Rd, Mequon, WI, 53097

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1206-002-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Ste 200, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 205, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 235, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132
    • 10101 S 27th St, Fl 1, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-195-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Ste 200, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 205, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 235, Franklin, WI, 53132
    • 3111 W Rawson Ave, Ste 105, Franklin, WI, 53132
    • 10101 S 27th St, Fl 1, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-403-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield

5 plans list James.

5plans
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Franklin, WI, 53132
    • 7095 S Ballpark Dr, Franklin, WI, 53132
    • 3077 N Mayfair Rd, Milwaukee, WI, 53222

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH9525-004-000Medicare.gov
    $0a month
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Franklin, WI, 53132
    • 7095 S Ballpark Dr, Franklin, WI, 53132
    • 3077 N Mayfair Rd, Milwaukee, WI, 53222

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-024-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage 3 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Franklin, WI, 53132
    • 7095 S Ballpark Dr, Franklin, WI, 53132
    • 3077 N Mayfair Rd, Milwaukee, WI, 53222

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH4036-008-000Medicare.gov
    $84a month
  • Anthem Dual Advantage Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3111 W Rawson Ave, Franklin, WI, 53132
    • 7095 S Ballpark Dr, Franklin, WI, 53132
    • 3077 N Mayfair Rd, Milwaukee, WI, 53222

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH9525-028-000Medicare.gov
    $0a month

Wellcare

3 plans list James.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 7095 S Ballpark Dr, Unit 100, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH8189-008-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 7095 S Ballpark Dr, Unit 100, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-001-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 7095 S Ballpark Dr, Unit 100, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-007-000Medicare.gov
    $0a month

Molina Healthcare of Wisconsin

2 plans list James.

2plans
  • Molina My Choice Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 7095 S Ballpark Dr, Unit 100, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-006-001Medicare.gov
    $0a month
  • Molina My Choice Partnership (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 7095 S Ballpark Dr, Unit 100, Franklin, WI, 53132

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-005-001Medicare.gov
    $0a month

iCare

Not listed on its 1 plan here. That isn't proof they're out of network.

Network Health Medicare Advantage Plans

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Network Health Medicare Advantage Plans plan hasn't been checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether James takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

3237 S 16th St, Suite 210
Milwaukee, WI 53215

NPI Registry
NPI issued
2006
Registry record updated
Feb 25, 2020

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list James Stone?

In Milwaukee County, WI, 40 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO) and Humana Full Access (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does James Stone take Humana Medicare Advantage plans?

Humana's own provider directory lists James on 16 Medicare Advantage plans for 2027 in Milwaukee County, WI, including Humana Essentials Plus Giveback (PPO) and Humana Full Access (PPO). Confirm with the office or Humana before you enroll.

Does James Stone take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists James on 8 Medicare Advantage plans for 2027 in Milwaukee County, WI, including AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) and AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS). 4 other plans did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does James Stone take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists James on 6 Medicare Advantage plans for 2027 in Milwaukee County, WI, including Aetna Medicare Eagle (PPO) and Aetna Medicare Signature (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Where does James Stone practice?

3237 S 16th St, Suite 210, Milwaukee, WI 53215.

How do I confirm James is in my plan's network?

Call the member services number on your plan card and give them the NPI 1295839298, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for James Stone on 1 plans from iCare in Milwaukee County, WI. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2020-02-25). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by James Stone or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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