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DUSTIN BLAKE PORTER
NPI 1205178399
Surgery in Burley, ID

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
1501 HILAND AVE STE H, BURLEY, ID 83318(208) 677-6082 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin Blake Porter NPPES

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

DUSTIN BLAKE PORTER (NPI 1205178399) is an individual surgery provider in Burley, Idaho, licensed in Idaho (M-14207) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Cassia Regional Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1205178399
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDUSTIN BLAKE PORTER
Location Address1501 HILAND AVE STE HBurley, ID 83318-2688
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(208) 677-6082
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
Enumeration DateMarch 26, 2013
Last NPPES UpdateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1205178399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ID · M-14207
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1501 HILAND AVE STE H, Burley, ID 83318
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Secondary Practice Location 1

Location 1550 S Jackson St, Room A2J21Louisville, KY 40202-1622 · Phone (502) 852-6191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dustin Blake Porter 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 ID1052629367
PECOS Enrollment IDI20181016001664
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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131326
Location1501 Hiland AvenueBurley, ID 83318 · Cassia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DONALD L WEESE JR. MD
Urology
1501 HILAND AVE STE H
BURLEY, ID 83318
Cassia County (208) 677-6266
BRIAN JOHNSON PA-C
Physician Assistant
1501 HILAND AVE STE H
BURLEY, ID 83318
Cassia County (208) 677-6082
NATHAN FROHNE M.D.
Surgery
1501 HILAND AVE STE H
BURLEY, ID 83318
Cassia County (208) 677-6082

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 Porter's NPI number?

The NPI number for Dustin Porter is 1205178399. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Dustin Porter located?

Dustin Porter practices at 1501 Hiland Ave Ste H, Burley, ID 83318. The listed phone number is (208) 677-6082.

What is Dustin Porter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dustin Porter enrolled in Medicare?

Yes. Dustin Porter 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 Porter accept?

Health plans from Providence Health Plan list Dustin Porter 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 Porter affiliated with any hospitals?

According to CMS data, Dustin Porter is affiliated with Cassia Regional Hospital.

When was this NPI record last updated?

The NPPES record for Dustin Porter was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.