SEAN CRAIG STOUT (MD) – Allergy & Immunology Physician, NPI 1417488131

SEAN CRAIG STOUT (MD) is a healthcare provider. based in Boise, Idaho. specializing in PEDIATRIC MEDICINE, ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 2017021058 (MO). The NPI Number for SEAN CRAIG STOUT (MD) is 1417488131

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SEAN CRAIG STOUT (MD)
NPI
1417488131
Phone
(208) 378-0080
Address
901 N CURTIS RD STE 100
Enumeration Date
23 March 2017
Last Update Date
27 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2083780080
Graduation Year
2017 (9 years ago)
PAC ID
8628349669
Group Practice PAC ID
6901860014
Professional Enrollment ID
I20220526001632
Address ID
ID836879291NA4424XAVEX430
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:9State licenses:3Digital endpointsOther names

67 PEDIATRIC MEDICINE in ID

Provider Addresses for SEAN CRAIG STOUT (MD)

  • 901 N CURTIS RD STE 100

    BOISE, ID 837061339

    Phone: (208) 378-0080

    Type: Mailing

  • Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 64108

    Phone: (816) 302-8052

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 139 Open Payments records for all available years, with a total value of $2,690.

Total Amount is formed as General ($2,690) + Research ($0) + Ownership ($0) = $2,690.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($905).

Total Amount

$2,690

General + Research + Ownership

Payments

139

Total payment records

General Amount

$2,690

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220526001632IAllergy/ImmunologyIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract78621$0
J0517Injection, benralizumab, 1 mg51111$0
96372Injection of drug or substance under skin or into muscle9737$0
99213Established patient office or other outpatient visit, 20-29 minutes7647$0
99214Established patient office or other outpatient visit, 30-39 minutes7654$0
View full utilization report →

Insurance plans in this area (ZIP 83706)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901860014View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YID
Nurse PractitionerID
-ID
Nurse PractitionerID
Nurse PractitionerID
A L L E R G Y/ I M M U N O L O G YID
Physician AssistantID

Reviews

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Frequently asked questions

Can I use this page to confirm SEAN CRAIG STOUT (MD)'s NPI?
Yes. SEAN CRAIG STOUT (MD) is listed with NPI 1417488131 in the public NPI dataset.
Can I rely on SEAN CRAIG STOUT (MD) being an active provider?
As of the registry snapshot, SEAN CRAIG STOUT (MD) is marked active.
What is SEAN CRAIG STOUT (MD)'s primary classification?
Allergy & Immunology Physician is the headline specialty for SEAN CRAIG STOUT (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for SEAN CRAIG STOUT (MD)?
SEAN CRAIG STOUT (MD)'s geographic hint is Boise, Idaho in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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