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DR. DUSTIN JOSEPH CALHOUN M.D.
NPI 1083873624
Emergency Medicine in Cincinnati, OH

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
231 ALBERT SABIN WAY, ML 0769, CINCINNATI, OH 45267(513) 558-5281(513) 558-5791 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dustin Joseph Calhoun M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DUSTIN JOSEPH CALHOUN M.D. (NPI 1083873624) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (35097213) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Medical College Of Georgia School Of Medicine (2008).

NPPES Registry Identity

NPI1083873624
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DUSTIN JOSEPH CALHOUNCredential: M.D.
Location Address231 ALBERT SABIN WAY, ML 0769Cincinnati, OH 45267-2827
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5505 · Fax (513) 585-5511
Phone(513) 558-5281
Fax(513) 558-5791
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2008
Enumeration DateJune 9, 2008
Last NPPES UpdateJune 8, 2017
✔ NPI 1083873624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35097213
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
231 ALBERT SABIN WAY, Cincinnati, OH 45267
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Other Identifiers 4

Medicaid7100165900KY
Medicaid3159880OH
Medicaid201026960IN
Medicare PINH001432OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance.Insurance ›

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

Dr. Dustin Joseph Calhoun 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.

PECOS PAC ID9739367277
PECOS Enrollment IDI20110701000198
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services30 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMED ELSAYED SARHAN MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-3903
JENNA NICOLE WHITROCK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (217) 617-7664
WARREN BACK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-7333
NOELLE KIPP
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-2978
HEATHER NICOLE KALEY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (720) 254-5993
LAURA BENDER
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (216) 538-3356
KAVYA KEERTHI VADLAMUDI
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-1051
GREGORY RETZINGER MD
Pathology (Clinical Pathology/Laboratory Medicine)
231 ALBERT SABIN WAY, DEPARTMENT OF PATHOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 558-4500

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 Calhoun's NPI number?

The NPI number for Dustin Calhoun is 1083873624. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Dustin Calhoun located?

Dustin Calhoun practices at 231 Albert Sabin Way Ml 0769, Cincinnati, OH 45267. The listed phone number is (513) 558-5281.

What is Dustin Calhoun's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dustin Calhoun enrolled in Medicare?

Yes. Dustin Calhoun 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.

What insurance does Dustin Calhoun accept?

Health plans from Oscar Health Insurance list Dustin Calhoun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dustin Calhoun affiliated with any hospitals?

According to CMS data, Dustin Calhoun is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Dustin Calhoun was last updated on June 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.