DEREK RUSSELL STOUT DO
NPI 1336593839
Anesthesiology in Hickory, NC
About Derek Russell Stout Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK RUSSELL STOUT DO (NPI 1336593839) is an individual anesthesiology provider in Hickory, North Carolina, licensed in North Carolina (2022-01044) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and maintains a secondary practice location in Lebanon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derek Russell Stout Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Derek Stout reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hickory, NC 28602
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
Charlotte, NC 28208
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Providence Anesthesiology Associates PA
- 483 clinicians in this Medicare group
Lehi, UT 84043
- Reassigned Medicare billing, Utah enrollment
- 355 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Catawba Valley Medical Center
Acute Care Hospitals · Hickory, NCIntermountain Health Alta View Hospital
Acute Care Hospitals · Sandy, UTMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
HICKORY, NC 28602
HICKORY, NC 28602
HICKORY, NC 28602
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 Derek Stout's NPI number?
The NPI number for Derek Stout is 1336593839. It was assigned to this individual provider in the NPPES registry on April 20, 2016.
Where is Derek Stout located?
Derek Stout practices at 810 Fairgrove Church Rd, Hickory, NC 28602. The listed phone number is (855) 968-8233.
What is Derek Stout's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Derek Stout enrolled in Medicare?
Yes. Derek Stout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Derek Stout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Stout reassigns Medicare benefits to 3 organizations: Western Piedmont Anesthesia PA (Hickory, NC), Providence Anesthesiology Associates, P.A. (Charlotte, NC) and Mountain West Anesthesia LLC (Lehi, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Stout accept?
Health plans from Cigna Healthcare and Select Health list Derek Stout as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Derek Stout affiliated with any hospitals?
According to CMS data, Derek Stout is affiliated with Catawba Valley Medical Center and Intermountain Health Alta View Hospital.
When was this NPI record last updated?
The NPPES record for Derek Stout was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Derek Russell Stout, DO · NPI 1336593839
Anesthesiology physician in Hickory, North Carolina. Individual provider, active in the CMS NPPES registry since April 20, 2016.
## Identity
- **NPI:** 1336593839 (Entity type: Individual)
- **Enumerated:** April 20, 2016
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 2022-01044 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 810 FAIRGROVE CHURCH RD, Hickory, NC 28602-9617
- **Phone:** (855) 968-8233 · **Fax:** (866) 502-1008
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Western Piedmont Anesthesia PA (NPI 1134172604, Hickory, NC); Providence Anesthesiology Associates, P.A. (NPI 1396739884, Charlotte, NC); Mountain West Anesthesia LLC (NPI 1558391763, Lehi, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western Un Of Hlth Sciences, Col Of Podiatric Med, class of 2018
## Record status
- **NPPES last updated:** May 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1336593839) · Data from the CMS NPPES public registry.