HOLLY ANNE DUSTIN MD
NPI 1265292833
Psychologist - Clinical in Boston, MA
About Holly Anne Dustin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY ANNE DUSTIN MD (NPI 1265292833) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (PSY10002278) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Anne Dustin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Dustin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Holly Dustin's NPI number?
The NPI number for Holly Dustin is 1265292833. It was assigned to this individual provider in the NPPES registry on March 20, 2024.
Where is Holly Dustin located?
Holly Dustin practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Holly Dustin's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Holly Dustin enrolled in Medicare?
Yes. Holly Dustin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Dustin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Dustin reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Dustin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Dustin accept?
Health plans from Harvard Pilgrim Health Care list Holly 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.
When was this NPI record last updated?
The NPPES record for Holly Dustin was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Holly Anne Dustin, MD · NPI 1265292833
Clinical provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 20, 2024.
## Identity
- **NPI:** 1265292833 (Entity type: Individual)
- **Enumerated:** March 20, 2024
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY10002278 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265292833) · Data from the CMS NPPES public registry.