KENDALL DEAN STOUT O.D.
NPI 1346621588
Optometrist in Fort Worth, TX

Active since June 12, 2015PECOS Enrolled
8376 MOJAVE TRL, FORT WORTH, TX 76116(682) 628-2531(682) 499-9350 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kendall Dean Stout O.d. NPPES

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

KENDALL DEAN STOUT O.D. (NPI 1346621588) is an individual optometrist in Fort Worth, Texas, licensed in Texas (8700TG) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Prairie.

NPPES Registry Identity

NPI1346621588
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENDALL DEAN STOUTCredential: O.D.
Location Address8376 MOJAVE TRLFort Worth, TX 76116-3638
Mailing Address8376 Mojave TrlFort Worth, TX 76116-3638 · (682) 628-2531 · Fax (682) 499-9350
Fax(682) 499-9350
Sole ProprietorNo
Enumeration DateJune 12, 2015
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1346621588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 8700TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8376 MOJAVE TRL, Fort Worth, TX 76116

Secondary Practice Location 1

Location 12634 S Carrier Pkwy, Suite 101Grand Prairie, TX 75052-5070 · Phone (972) 641-0011 · Fax (972) 641-8206

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Dean Stout O.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kendall Stout reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
2634 S CARRIER PKWY STE 101
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 4 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76116 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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 Kendall Stout's NPI number?

The NPI number for Kendall Stout is 1346621588. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Kendall Stout located?

Kendall Stout practices at 8376 Mojave Trl, Fort Worth, TX 76116. The listed phone number is (682) 628-2531.

What is Kendall Stout's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kendall Stout enrolled in Medicare?

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

Which organization bills Medicare for Kendall Stout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Stout reassigns Medicare benefits to Dr. Michael K. Hammond, PA (Grand Prairie, TX). The 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 Kendall Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendall Stout accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kendall 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.

When was this NPI record last updated?

The NPPES record for Kendall Stout was last updated on July 20, 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.