Doctor profile · Federal record

Dr. Derek Stout, DO

Anesthesiology Physician (CMS: Anesthesiology) · Anesthesiology Physician · Hickory, NC

  • NPI 1336593839
  • Accepts Medicare
  • MIPS 76.0 / 100 · 2023
  • 8 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
810 Fairgrove Church RD
Hickory, NC 286029617
(855) 968-8233
fax (866) 502-1008
Additional location
1 Medical Center Dr
Lebanon, NH 037560001
(603) 650-5000
Mailing address
Po Box 488
Conover, NC 286130488

Credentials & registration

NPPES · NUCC
NPI registered
April 2016 — 10 yrs on file
Profile last updated
May 22, 2023
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
207L00000X — NUCC code
State licenses (2)
North Carolina #2022-01044 · New Hampshire #21104

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336593839. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
298
Distinct HCPCS
10
Medicare allowed
$27,625
HCPCS Description Services Patients Avg allowed
00811 Anesthesia for other procedure on large bowel using an endoscope 49 49 $68
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 45 44 $69
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 33 33 $56
01402 Anesthesia for procedure for total knee joint replacement 26 26 $151
00813 Anesthesia for procedure on small and large bowel using an endoscope 25 25 $81
01214 Anesthesia for total hip replacement 20 20 $158
00910 Anesthesia for other procedure on urinary system through urethra 18 18 $67
00790 Anesthesia for other procedure on upper abdomen 16 16 $133
00840 Anesthesia for other procedure on lower abdomen 15 15 $133
01480 Anesthesia for other procedure on lower leg, ankle, and foot bones 15 15 $91

In context: peer comparison

Among 11 peers in this city , average services per provider: 25. This provider delivers 12× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Derek Stout's medical specialty?
Dr. Derek Stout practices Anesthesiology Physician in Hickory, NC.
Where does Dr. Derek Stout practice?
Dr. Derek Stout practices at 810 Fairgrove Church RD, Hickory, NC 286029617. Office phone: 8559688233.
What is Dr. Derek Stout's NPI?
Dr. Derek Stout's National Provider Identifier (NPI) is 1336593839, issued by NPPES.
Does Dr. Derek Stout accept Medicare assignment?
Yes. Dr. Derek Stout accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derek Stout commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) (HCPCS 64447). Source: CMS Medicare Physician & Other Practitioners file.