ROBERT STOUT DMD
NPI 1699413351
Dentist - General Practice in Ceres, CA
About Robert Stout Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT STOUT DMD (NPI 1699413351) is an individual general practice provider in Ceres, California, licensed in California (109689) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Robert Stout Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Robert Stout reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ceres, CA 95307
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 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 95307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CERES, CA 95307
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 Robert Stout's NPI number?
The NPI number for Robert Stout is 1699413351. It was assigned to this individual provider in the NPPES registry on May 23, 2022.
Where is Robert Stout located?
Robert Stout practices at 1920 Memorial Dr, Ceres, CA 95307. The listed phone number is (209) 722-4842.
What is Robert Stout's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Robert Stout enrolled in Medicare?
Yes. Robert Stout is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Robert Stout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Stout reassigns Medicare benefits to Golden Valley Health Center (Ceres, CA). 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 Robert Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Stout accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Robert 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 Robert Stout was last updated on April 5, 2024. 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.
# Robert Stout, DMD · NPI 1699413351
General Practice provider in Ceres, California. Individual provider, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1699413351 (Entity type: Individual)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 109689 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1920 MEMORIAL DR, Ceres, CA 95307-1827
- **Phone:** (209) 722-4842
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Golden Valley Health Center (NPI 1316393010, Ceres, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699413351) · Data from the CMS NPPES public registry.