KERRICK LOUIS STOUT MD
NPI 1710961172
Family Medicine in Dillingham, AK

Q: 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.

Q: What is Kerrick Stout's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: 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.

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment

6000 KANAKANAK RD, DILLINGHAM, AK 99576(907) 842-5201(907) 842-9250 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1710961172

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKERRICK LOUIS STOUTCredential: MD

Location Address6000 KANAKANAK RDDillingham, AK 99576

Mailing AddressPo Box 130Dillingham, AK 99576-0130 · (907) 842-9218 · Fax (907) 842-9500

Phone(907) 842-5201

Fax(907) 842-9250

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1997

Enumeration DateNovember 30, 2005

Last NPPES UpdateMarch 11, 2015

✔ NPI 1710961172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AK · 4902✔ Licensed in KY · 34237

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 34237 (KY)

6000 KANAKANAK RD, Dillingham, AK 99576

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Other Identifiers 20

Medicare ID-Type Unspecified8EZ83U

Medicare ID-Type Unspecified8EZ93U

Medicare ID-Type Unspecified8EZ85U

Medicare ID-Type Unspecified8EZ87U

Medicare ID-Type Unspecified8EZ89U

Medicare UPING99087

Medicare ID-Type Unspecified8EZ82U

Medicare ID-Type Unspecified8EZ94U

Medicare ID-Type Unspecified8EZ84U

MedicaidMD6411AK

Medicare ID-Type Unspecified8EZ80U

Medicare ID-Type Unspecified8EZ90U

Medicare ID-Type Unspecified8EZ78U

Medicare ID-Type Unspecified8EZ79U

Medicare ID-Type Unspecified8EZ86U

Medicare ID-Type Unspecified8EZ88U

Medicare ID-Type Unspecified8EZ81U

Medicare ID-Type Unspecified8EZ91U

Medicare ID-Type Unspecified8EZ85L

Medicare ID-Type Unspecified8EZ92U

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

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.

PECOS PAC ID648333492

PECOS Enrollment IDI20100802000318

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

68 services65 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

42 services40 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

38 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services24 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services16 patients

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, KY

5/5 CMS rating

OwnershipProprietary

CMS Certification Number180019

Location989 Medical Park DriveMaysville, KY 41056 · Mason County

Emergency services Birthing friendly

Physician 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.

New Patient

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DONALD ANTHONY SALERA DDS

Dentist (General Practice)