SHAWN M STOUT (PA-C) – Physician Assistant, NPI 1093098295
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for SHAWN M STOUT (PA-C)
714 N SENATE AVE
STE 120
INDIANAPOLIS, IN 462023297
Phone: (317) 963-0555
Fax: (317) 963-5605
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
200 S FORD RD
ZIONSVILLE, IN 460771864
Phone: (317) 957-9270
Type: Location
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 462502890
Phone:
Type: Mailing
714 N SENATE AVE STE 120
INDIANAPOLIS, IN 462023297
Phone: (317) 963-0555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($183).
Total Amount
$183
General + Research + Ownership
Payments
2
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $183 |
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: 2011-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111006000475 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 465 | 390 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 239 | 211 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 21 | 21 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | NV | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Geriatric Medicine | IN | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
Reviews
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