DR. TIMOTHY MARK STOUT (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1316930688

DR. TIMOTHY MARK STOUT (MD) is a healthcare provider. based in Independence, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD108395 (MO). The NPI Number for DR. TIMOTHY MARK STOUT (MD) is 1316930688

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY MARK STOUT (MD)
NPI
1316930688
Phone
(816) 478-1230
Address
4801 S CLIFF AVE
Enumeration Date
23 August 2005
Last Update Date
2 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8005004667
Graduation Year
1995 (31 years ago)
PAC ID
3577666247
Group Practice PAC ID
2860396330
Professional Enrollment ID
I20231017000363
Address ID
TN379195813KN320XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience95
Completeness75
Years active:20State licenses:5Digital endpointsOther names

429 OPHTHALMOLOGY in TN

Provider Addresses for DR. TIMOTHY MARK STOUT (MD)

  • 4801, South Cliff Avenue, Independence, Jackson County, Missouri, 64055, United States

    SUITE 100

    INDEPENDENCE, MO 640557015

    Phone: (816) 478-1230

    Fax: (816) 478-4413

    Type: Mailing

  • 1798 Roane State Hwy

    Harriman, TN 377488305

    Phone: (865) 882-7470

    Fax: (816) 350-6980

    Type: Location

  • 1639 W Morris Blvd

    Morristown, TN 378132832

    Phone: (800) 500-4667

    Fax: (833) 448-2984

    Type: Location

  • 7714 Conner Rd Ste 102

    Powell, TN 378493559

    Phone: (800) 500-4667

    Fax: (833) 448-2985

    Type: Location

  • 5491 Creekwood Park Blvd

    Lenoir City, TN 377721204

    Phone: (800) 500-4667

    Type: Location

  • 1275 DICK LONAS RD

    KNOXVILLE, TN 379091382

    Phone: (865) 584-4747

    Fax: (865) 381-1509

    Type: Mailing

  • Discover Vision Center, 11500, Granada Street, Leawood, Johnson County, Kansas, 66211, United States

    DISCOVER VISION CENTERS

    LEAWOOD, KS 662111453

    Phone: (816) 478-1230

    Fax: (816) 350-6980

    Type: Location

  • 320 CHESHIRE DR

    KNOXVILLE, TN 379195813

    Phone: (800) 500-4667

    Fax: (833) 448-2982

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $8,676.

Total Amount is formed as General ($8,676) + Research ($0) + Ownership ($0) = $8,676.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($7,350).

Total Amount

$8,676

General + Research + Ownership

Payments

20

Total payment records

General Amount

$8,676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-10-17

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
I20231017000363IOphthalmologyTNTBD

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
92134Imaging of retina7572$0
99214Established patient office or other outpatient visit, 30-39 minutes5757$0
67028Injection of drug into eye2219$0
View full utilization report →

Insurance plans in this area (ZIP 64055)

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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: 2860396330View full group profile

Reviews

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Frequently asked questions

How is DR. TIMOTHY MARK STOUT (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. TIMOTHY MARK STOUT (MD) with NPI 1316930688.
Can I rely on DR. TIMOTHY MARK STOUT (MD) being an active provider?
As of the registry snapshot, DR. TIMOTHY MARK STOUT (MD) is marked active.
What is DR. TIMOTHY MARK STOUT (MD)'s primary classification?
Retina Specialist (Ophthalmology) Physician is the headline specialty for DR. TIMOTHY MARK STOUT (MD) here. Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY MARK STOUT (MD) list a practice location?
Patients near Independence, Missouri may find DR. TIMOTHY MARK STOUT (MD) in results; validate coverage separately.
Why does DR. TIMOTHY MARK STOUT (MD) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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