Timothy Mark Stout, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

68554 Issued in TN

Practice address

1400 Dowell Springs Blvd Ste 310
Knoxville, TN 37909-2445

Phone

(423) 508-7337

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Missouri, Kansas City, School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.stout.1@20785.direct.athenahealth.com
• Direct secure messaging: tstout@tneyecare.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1548349186
  NPD
• Southeast Eye Specialists PLLC

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1003437138
  NPD (past)
• Southeast Eye Specialists PLLC

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1518961176
  NPD (past)
• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1316930688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306307",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306307",
            "telephone_number": "423-424-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD STE 310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092445",
            "telephone_number": "423-508-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 Roane State Hwy",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488305",
            "country_code": "US",
            "telephone_number": "865-882-7470",
            "fax_number": "816-350-6980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 W Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132832",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5491 Creekwood Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377721204",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Cheshire Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195813",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7714 Conner Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493559",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TN",
            "license": "68554",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "MD108395",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD68554",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KS",
            "license": "04-29147",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0429147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180041348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180041349",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Stoudt
• Jacob Stout, PHARM.D.
• Kelsey Carrasquillo Stout, LPC, MA
• Logan Roger Stout
• Michaellena Stout, LPN
• Alice Stover, LCSW
• Latisha Stover
• Melissa D Stover
• Lori Love Stowell, RDN
• Abigail Marie Strain, LPC-MHSP

• Retina Specialist (Ophthalmology) Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Retina Specialist (Ophthalmology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.