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RYAN STOUT PA
NPI 1124366091
Physician Assistant in Charlotte, NC

Active since January 27, 2013PECOS Enrolled
2001 VAIL AVE, CHARLOTTE, NC 28207(704) 304-6070 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 5, 2022, Dec 10, 2021, Sep 20, 2021 and 47 more (50 updates tracked since 2015).

About Ryan Stout Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN STOUT PA (NPI 1124366091) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-03926) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1124366091
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN STOUTCredential: PA
Location Address2001 VAIL AVECharlotte, NC 28207-1248
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 304-6070
Sole ProprietorNo
Enumeration DateJanuary 27, 2013
Last NPPES UpdateJanuary 5, 202250 updates tracked since enumeration
✔ NPI 1124366091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-03926
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2001 VAIL AVE, Charlotte, NC 28207
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Secondary Practice Locations 4

Location 110648 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070
Location 2487 Lake Concord Rd NEConcord, NC 28025-2934 · Phone (704) 403-0100
Location 31000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 48800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Stout Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE KAY RUFFING ADCOCK MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
TAYLOR DEREK JOHNSON MD
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-5000
JENNIFER J CLINE PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5837
VISHALAKSHI KALYANA SUNDARAM MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
KRYSTENE LYNN HELGESON PA
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-6070
ESTHER REBECCA LANDIS HAYES MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
SHENA S PATEL PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5632
DUPAL PATEL MD
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Stout's NPI number?

The NPI number for Ryan Stout is 1124366091. It was assigned to this individual provider in the NPPES registry on January 27, 2013.

Where is Ryan Stout located?

Ryan Stout practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-6070.

What is Ryan Stout's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ryan Stout enrolled in Medicare?

Yes. Ryan Stout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Stout was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.