LISA STOUT (M.D.) – Urology Physician, NPI 1548263213

LISA STOUT (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 373658-1205 (UT). The NPI Number for LISA STOUT (M.D.) is 1548263213

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
LISA STOUT (M.D.)
NPI
1548263213
Phone
(801) 531-9453
Address
1060 E 100 S
Enumeration Date
24 May 2005
Last Update Date
6 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013573242
Graduation Year
1990 (36 years ago)
PAC ID
5294776944
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20100715000991
Address ID
UT846043333PR395XXBLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:21State licenses:1Digital endpointsOther names

97 UROLOGY in UT

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Provider Addresses for LISA STOUT (M.D.)

  • 100 South, Salt Lake City, Salt Lake County, Utah, 84112-0102, United States of America

    STE 110

    SALT LAKE CITY, UT 841021591

    Phone: (801) 531-9453

    Fax: (801) 531-9467

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-07-15

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
I20100715000991IUrologyUTTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3720$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1918$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 84102)

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Provider's Procedures

LISA STOUT (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYUT51798Ultrasound measurement of bladder capacity after voiding162114

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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the registry number for LISA STOUT (M.D.)?
The registry entry for LISA STOUT (M.D.) shows NPI 1548263213.
Is LISA STOUT (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists LISA STOUT (M.D.) as active.
What does the directory say LISA STOUT (M.D.) does?
Insurance directories may phrase it differently, but here LISA STOUT (M.D.) maps to Urology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA STOUT (M.D.)?
LISA STOUT (M.D.) shows a connection to Salt Lake City, Utah in registry-derived data.
Why is information missing for LISA STOUT (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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