Conley Stout, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

32792 Issued in WV

Practice address

400 Fairview Heights Rd
Summersville, WV 26651-9308

Phone

(304) 872-2891

Fax

(304) 872-2080

NPI assigned

Mar 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

General Surgery

Education

West Virginia University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Virginia Health Care Cooperative IncGroup PAC ID 9830431030, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
• Braxton County Memorial Hospital, Inc Hospital, Gassaway, WV, CCN 511308

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cstout833300@direct.sw.org

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.

• Braxton County Memorial Hospital

  • Critical Access Hospital
  • Gassaway, WV
  • NPI 1356304547
  Medicare reassignment NPD
• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Medicare reassignment NPD
• West Virginia Health Care Cooperative Inc

  dba SRMC Medical Group

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Medicare reassignment NPD
• Braxton County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gassaway, WV
  • NPI 1861580334
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Braxton County Memorial Hospital

  • Critical Access Hospital
  • Gassaway, WV
  • NPI 1356304547
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba SRMC Medical Group

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Care Compare affiliation

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1841759115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "address_2": "PO BOX 9238, ROOM 4601, SURGERY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-2891",
            "fax_number": "304-872-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "CONLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "32792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal R Stark, RN, MSN, C-PNP
• Bambi Steele
• Anita R. Stewart, D.O.
• David Griffin Stone, B.S.
• McKenna Brooke Stone
• Richelda Martinez Stout
• Geraldine Sue Strader
• Summersville Family Medicine Inc
• Summersville Memorial Hospital
• Summersville Memorial Hospital (SMH ER Physicians)

• Surgery Physician in Summersville, WV
• Providers in Summersville, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.