KILEY STOUT OD
NPI 1235063017
Optometrist - Pediatrics in Cleveland, OH

Q: What is Kiley Stout's NPI number?

The NPI number for Kiley Stout is 1235063017. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Q: What is Kiley Stout's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kiley Stout was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2026PECOS Enrolled

11100 EUCLID AVE, CLEVELAND, OH 44106(440) 720-4589 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kiley Stout Od NPPES

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

KILEY STOUT OD (NPI 1235063017) is an individual pediatrics provider in Cleveland, Ohio, licensed in Ohio (007508) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235063017

Entity TypeIndividualFemale

Primary Taxonomy152WP0200X

Provider Legal NameKILEY STOUTCredential: OD

Location Address11100 EUCLID AVECleveland, OH 44106-1716

Mailing Address11100 Euclid AveCleveland, OH 44106-1716 · (440) 720-4589

Phone(440) 720-4589

Sole ProprietorNo

Enumeration DateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1235063017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers

Taxonomy Code152WP0200X

License✔ Licensed in OH · 007508

Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

11100 EUCLID AVE, Cleveland, OH 44106

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiley Stout Od 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 44106 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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