KERRICK LOUIS STOUT (MD) – Emergency Medicine Physician, NPI 1710961172
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 FAMILY PRACTICE in AK
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Provider Addresses for KERRICK LOUIS STOUT (MD)
Kanakanak Hospital, 6000, Kanakanak Road, Nelsonville, Dillingham, Alaska, 99576, United States
DILLINGHAM, AK 99576
Phone: (907) 842-5201
Fax: (907) 842-9250
Type: Location
PO BOX 130
DILLINGHAM, AK 995760130
Phone: (907) 842-9218
Fax: (907) 842-9500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: RARE DISEASE THERAPEUTICS, INC. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RARE DISEASE THERAPEUTICS, INC. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090106000355 | I | Family Practice | KY | TBD |
| I20100802000318 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 77 | 75 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 62 | 59 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 42 | 39 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 99576)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AK | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| - | WA | |
| - | UT | |
| Emergency Medicine | AZ | |
| Physician Assistant | MN | |
| Diagnostic Radiology | AK | |
| O P T O M E T R Y | OR | |
| Family Practice | AK | |
| - | AK | |
| Physician Assistant | CO |
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