Derek Russell Stout, DO
NPI 1336593839ActiveIndividual· Anesthesiology· Hickory, NC
Anesthesiology (DO) in Hickory, North Carolina, trained at Western Un of Hlth Sciences, Col of Podiatric Med (class of 2018). Medicare paid $34,974 for services to 382 patients in 2024.
Overview
| NPI | 1336593839 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2016 |
| Last updated in NPPES | May 22, 2023 |
| Certified by provider | May 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 2022-01044 | NC |
| Anesthesiology | 207L00000X | 21104 | NH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (NC); Practitioner - Anesthesiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 382 |
|---|---|
| Services billed | 442 across 63 procedure codes |
| Paid by Medicare | $34,974 |
Education and affiliations
| Medical school | Western Un of Hlth Sciences, Col of Podiatric Med |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Anesthesiology |
Medical groups
- Mountain West Anesthesia LLCProvo, UT · 271 clinicians
- Providence Anesthesiology Associates PACharlotte, NC · 215 clinicians
Hospital affiliations
- Catawba Valley Medical CenterHickory, NC
- Intermountain Health Alta View HospitalSandy, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 37 anesthesiologists in Hickory · All anesthesiologists in North Carolina