DONALD ELMER DINGUS MD
NPI 1265471635
Emergency Medicine in Big Stone Gap, VA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
205 E 19TH ST N, BIG STONE GAP, VA 24219(276) 524-4920(276) 524-1401 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2022, Sep 30, 2020, Dec 6, 2019 (3 updates tracked since 2019).

About Donald Elmer Dingus Md NPPES

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

DONALD ELMER DINGUS MD (NPI 1265471635) is an individual emergency medicine provider in Big Stone Gap, Virginia, licensed in Virginia (0101045541) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1989).

NPPES Registry Identity

NPI1265471635
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDONALD ELMER DINGUSCredential: MD
Location Address205 E 19TH ST NBig Stone Gap, VA 24219-3468
Mailing Address205 E 19th St NBig Stone Gap, VA 24219-3468 · (276) 524-4920 · Fax (276) 524-1401
Fax(276) 524-1401
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1989
Enumeration DateJune 4, 2006
Last NPPES UpdateApril 11, 20223 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1265471635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101045541✔ Licensed in VA · 101045541✔ Licensed in TN · 40295
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101045541 (VA)
205 E 19TH ST N, Big Stone Gap, VA 24219

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Elmer Dingus Md 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 ID7810985827
PECOS Enrollment IDI20040506000162
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Donald Dingus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
205 E 19TH ST N
Big Stone Gap, VA 24219
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
Emergency Medicine
100 15TH ST NW
Norton, VA 24273
  • Reassigned Medicare billing, Virginia enrollment
  • 207 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 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.

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.

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.
34 services15 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.
31 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24219 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$8.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
205 E 19TH ST N
BIG STONE GAP, VA 24219
Counselor (Professional)
205 E 19TH ST N
BIG STONE GAP, VA 24219
Social Worker (Clinical)
205 E 19TH ST N
BIG STONE GAP, VA 24219
Clinic/Center (Health Service)
205 E 19TH ST N
BIG STONE GAP, VA 24219

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 Donald Dingus's NPI number?

The NPI number for Donald Dingus is 1265471635. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Donald Dingus located?

Donald Dingus practices at 205 E 19th St N, Big Stone Gap, VA 24219. The listed phone number is (276) 524-4920.

What is Donald Dingus's specialty?

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

Is Donald Dingus enrolled in Medicare?

Yes. Donald Dingus 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.

Which organizations bill Medicare for Donald Dingus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Dingus reassigns Medicare benefits to 3 organizations: Cassandra Dingus, Fnp, PC (Big Stone Gap, VA), Western Virginia Regional Emergency Physicians, LLC (Norton, VA) and Emergency Coverage, LLC (Newport, TN). Each 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 Donald Dingus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Dingus was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.