DEREK RUSSELL STOUT DO
NPI 1336593839
Anesthesiology in Hickory, NC

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
76.01/100
CMS Quality Rating
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602(855) 968-8233(866) 502-1008 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 22, 2023, Feb 21, 2023, Dec 16, 2022 and 1 more (4 updates tracked since 2018).

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

NPI1336593839
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDEREK RUSSELL STOUTCredential: DO
Location Address810 FAIRGROVE CHURCH RDHickory, NC 28602-9617
Mailing AddressPo Box 488Conover, NC 28613-0488 · (855) 968-8233 · Fax (866) 502-1008
Fax(866) 502-1008
Sole ProprietorYes
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2018
Enumeration DateApril 20, 2016
Last NPPES UpdateMay 22, 20234 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1336593839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in NC · 2022-01044 Licensed in NH · 21104
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
810 FAIRGROVE CHURCH RD, Hickory, NC 28602

Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID143577544
PECOS Enrollment IDI20221013002765, I20250429003110
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.

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
44 services44 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
32 services32 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
30 services30 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
27 services27 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
20 services20 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
20 services20 patients

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, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Medicare 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.

76.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.31
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Advanced Practice Midwife
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Specialist/Technologist (Athletic Trainer)
810 FAIRGROVE CHURCH RD, CVMC-CENTER FOR REHABILITATION
HICKORY, NC 28602
Advanced Practice Midwife
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Nurse Practitioner
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Ambulance (Land Transport)
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
General Acute Care Hospital
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Physical Therapist
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Nurse Anesthetist, Certified Registered
810 FAIRGROVE CHURCH RD
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.

What insurance does Derek Stout accept?

Health plans from 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.