DUSTIN JOHN FANCIULLO M.D.
NPI 1013164052
Surgery - Vascular Surgery in Salt Lake City, UT
About Dustin John Fanciullo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUSTIN JOHN FANCIULLO M.D. (NPI 1013164052) is an individual vascular surgery provider in Salt Lake City, Utah, licensed in Utah (14267138-1205) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2004).
NPPES Registry Identity
Specialties & Licenses 2
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dustin John Fanciullo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rochester General Hospital
Acute Care Hospitals · Rochester, NYCanton-Potsdam Hospital
Acute Care Hospitals · Potsdam, NYClifton Springs Hospital And Clinic
Acute Care Hospitals · Clifton Springs, NYSt Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dustin Fanciullo's NPI number?
The NPI number for Dustin Fanciullo is 1013164052. It was assigned to this individual provider in the NPPES registry on August 21, 2008.
Where is Dustin Fanciullo located?
Dustin Fanciullo practices at 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124. The listed phone number is (801) 262-2806.
What is Dustin Fanciullo's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Dustin Fanciullo enrolled in Medicare?
Yes. Dustin Fanciullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Dustin Fanciullo affiliated with any hospitals?
According to CMS data, Dustin Fanciullo is affiliated with Rochester General Hospital, Canton-Potsdam Hospital, Clifton Springs Hospital And Clinic and St Mark's Hospital.
When was this NPI record last updated?
The NPPES record for Dustin Fanciullo was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
