KERRICK LOUIS STOUT MD
NPI 1710961172
Family Medicine in Dillingham, AK
About Kerrick Louis Stout Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRICK LOUIS STOUT MD (NPI 1710961172) is an individual family medicine provider in Dillingham, Alaska, licensed in Alaska (4902) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Meadowview Regional Medical Center, and is a graduate of University Of Louisville School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 20
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
Kerrick Louis Stout Md 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
2Medicare enrollment records show Kerrick Stout reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dillingham, AK 99576
- Reassigned Medicare billing, Texas enrollment
- 360 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 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 6
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Meadowview Regional Medical Center
Acute Care Hospitals · Maysville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99576 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kerrick Stout's NPI number?
The NPI number for Kerrick Stout is 1710961172. It was assigned to this individual provider in the NPPES registry on November 30, 2005.
Where is Kerrick Stout located?
Kerrick Stout practices at 6000 Kanakanak Rd, Dillingham, AK 99576. The listed phone number is (907) 842-5201.
What is Kerrick Stout's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kerrick Stout enrolled in Medicare?
Yes. Kerrick 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 Kerrick Stout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerrick Stout reassigns Medicare benefits to 2 organizations: Bristol Bay Area Health Corporation (Dillingham, AK) and Southeastern Emergency Physicians LLC (Maysville, KY). 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 Kerrick Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kerrick Stout affiliated with any hospitals?
According to CMS data, Kerrick Stout is affiliated with Meadowview Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kerrick Stout was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kerrick Louis Stout, MD · NPI 1710961172
Family Medicine physician in Dillingham, Alaska. Individual provider, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1710961172 (Entity type: Individual)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4902 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 6000 KANAKANAK RD, Dillingham, AK 99576
- **Phone:** (907) 842-5201 · **Fax:** (907) 842-9250
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Bristol Bay Area Health Corporation (NPI 1154551588, Dillingham, AK); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** March 11, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 8EZ83U; Medicare ID-Type Unspecified 8EZ93U; Medicare ID-Type Unspecified 8EZ85U; and 17 more
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Source: [NPI Profile](https://npiprofile.com/npi/1710961172) · Data from the CMS NPPES public registry.