DANIEL DUSTIN DO
NPI 1093246399
Internal Medicine - Pulmonary Disease in Salem, MA

Q: What is Daniel Dustin's NPI number?

The NPI number for Daniel Dustin is 1093246399. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Daniel Dustin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Dustin was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

98.94/100

CMS Quality Rating

55 HIGHLAND AVE STE 104, SALEM, MA 01970(978) 745-4489 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2024, Nov 9, 2023, Oct 24, 2023 and 2 more (5 updates tracked since 2017).

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About Daniel Dustin Do NPPES

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

DANIEL DUSTIN DO (NPI 1093246399) is an individual pulmonary disease provider in Salem, Massachusetts, licensed in Massachusetts (1017438) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1093246399

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDANIEL DUSTINCredential: DO

Location Address55 HIGHLAND AVE STE 104Salem, MA 01970-2100

Mailing Address55 Highland Ave Ste 104Salem, MA 01970-2100

Phone(978) 745-4489

Sole ProprietorYes

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2017

Enumeration DateMarch 27, 2017

Last NPPES UpdateFebruary 7, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1093246399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MA · 1017438

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 1017438 (MA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 1017438 (MA)

55 HIGHLAND AVE STE 104, Salem, MA 01970

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Secondary Practice Location 1

Location 181 Highland AveSalem, MA 01970-2714 · Phone (978) 741-1200

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield.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

Daniel Dustin Do 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 ID8729352547

PECOS Enrollment IDI20240112000627, I20240930001263

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 14

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

139 services63 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services79 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

100 services100 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

63 services63 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

59 services59 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

54 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services17 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

19 services12 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

16 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services14 patients

Test to measure expiratory airflow and volume 94010

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

98.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.93

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 2

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

TIMOTHY WILLIAM ROEDDER DO

Internal Medicine (Pulmonary Disease)

55 HIGHLAND AVE STE 104
SALEM, MA 01970

Essex County (978) 745-4489

DR. AVALON MERTENS DO

Student in an Organized Health Care Education/Training Program

55 HIGHLAND AVE STE 104
SALEM, MA 01970

Essex County (978) 745-4489

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 Daniel Dustin's NPI number?

The NPI number for Daniel Dustin is 1093246399. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Daniel Dustin located?

Daniel Dustin practices at 55 Highland Ave Ste 104, Salem, MA 01970. The listed phone number is (978) 745-4489.

What is Daniel Dustin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Daniel Dustin enrolled in Medicare?

Yes. Daniel Dustin 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 Daniel Dustin accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Daniel Dustin 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 Daniel Dustin affiliated with any hospitals?

According to CMS data, Daniel Dustin is affiliated with North Shore Medical Center -, Massachusetts General Hospital and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Dustin was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.