DUSTIN PAUL ROBERTS CRNA
NPI 1225450539
Nurse Anesthetist, Certified Registered in Johnson City, TN

Q: What is Dustin Roberts's NPI number?

The NPI number for Dustin Roberts is 1225450539. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Q: What is Dustin Roberts's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Roberts was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 07, 2014Accepts Medicare Assignment

1009 LARK ST, ANESTHESIA PAIN CONSULTANTS, JOHNSON CITY, TN 37604(423) 283-0776 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dustin Paul Roberts Crna NPPES

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

DUSTIN PAUL ROBERTS CRNA (NPI 1225450539) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (170956) and active in the NPI registry since January 2014. He is affiliated with Wellmont Holston Valley Medical Center and is a graduate of Other (2013).

NPPES Registry Identity

NPI1225450539

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDUSTIN PAUL ROBERTSCredential: CRNA

Location Address1009 LARK ST, ANESTHESIA PAIN CONSULTANTSJohnson City, TN 37604

Mailing Address1301 Post StKingsport, TN 37664-2513 · (423) 483-2052

Phone(423) 283-0776

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 7, 2014

✔ NPI 1225450539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 170956

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1009 LARK ST, Johnson City, TN 37604

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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 Paul Roberts Crna 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 ID5496979890

PECOS Enrollment IDI20140604001665

Hospital Affiliations CMS Care Compare 2

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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.

Reported Quality Measures

Central Line Ultrasound Guidance

Percentage of patients, regardless of age, in whom ultrasound guidance is used by the anesthesia clinician when placing a central line for those central lines that are placed in the internal jugular location.

22%27 patients1/55-star benchmark: 100%

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%478 patients5/55-star benchmark: 100%

Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)

Percentage of patients, regardless of age, who undergo a procedure under anesthesia and are admitted to an Intensive Care Unit (ICU) directly from the anesthetizing location, who have a documented use of a checklist or protocol for the transfer of care from…

100%55 patients

Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy

Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…

100%154 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

LISA W GREEN CRNA

Nurse Anesthetist, Certified Registered