MICHAEL TYLER STOUT M.D.
NPI 1679863633
Anesthesiology in Jackson, MS

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
1151 N STATE ST STE 311, JACKSON, MS 39202(601) 969-1171 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Tyler Stout M.d. NPPES

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

MICHAEL TYLER STOUT M.D. (NPI 1679863633) is an individual anesthesiology provider in Jackson, Mississippi, licensed in Mississippi (23817) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1679863633
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMICHAEL TYLER STOUTCredential: M.D.
Location Address1151 N STATE ST STE 311Jackson, MS 39202-2407
Mailing Address1151 N State St Ste 311Jackson, MS 39202-2407 · (601) 969-1171
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2011
Enumeration DateApril 12, 2011
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1679863633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in MS · 23817 Licensed in TN · 67910
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.
1151 N STATE ST STE 311, Jackson, MS 39202

Secondary Practice Location 1

Location 1415 S 28th AveHattiesburg, MS 39401-7246 · Phone (601) 261-3606

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

Michael Tyler Stout M.d. 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 ID1153568969
PECOS Enrollment IDI20150727002007
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 15

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
37 services36 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
30 services30 patients
Ultrasound of heart with probe in esophagus, with report 93312
This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
29 services29 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
29 services29 patients
Insertion of tube in pulmonary artery for monitoring 93503
This procedure involves placing a tube into your pulmonary artery, which is a blood vessel in your lungs. The tube helps monitor heart function and blood flow, providing vital information for your treatment. It's typically done under local anesthesia to minimize discomfort.
28 services28 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Whitfield Medical Surgical Hospital

Acute Care Hospitals · Whitfield, MS
OwnershipGovernment - State
CMS Certification Number250134
Location3550 Hwy 468 W, Bldg 60Whitfield, MS 39193 · Rankin County

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
1151 N STATE ST STE 311
JACKSON, MS 39202

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 Michael Stout's NPI number?

The NPI number for Michael Stout is 1679863633. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Michael Stout located?

Michael Stout practices at 1151 N State St Ste 311, Jackson, MS 39202. The listed phone number is (601) 969-1171.

What is Michael Stout's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Stout enrolled in Medicare?

Yes. Michael 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 Michael Stout accept?

Health plans from Blue Cross and Blue Shield of Alabama, HMO Louisiana and Oscar Health Plan, Inc. list Michael 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 Michael Stout affiliated with any hospitals?

According to CMS data, Michael Stout is affiliated with St Dominic-Jackson Memorial Hospital and Whitfield Medical Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Michael Stout was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.