DR. DUSTIN S HAMBRIGHT MD
NPI 1306130307
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Mount Pleasant, SC

Q: What is Dustin Hambright's NPI number?

The NPI number for Dustin Hambright is 1306130307. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Dustin Hambright's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Hambright was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment

70.15/100

CMS Quality Rating

851 LEONARD FULGHUM DR STE 101, MOUNT PLEASANT, SC 29464(843) 971-9350 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Dustin S Hambright Md NPPES

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

DR. DUSTIN S HAMBRIGHT MD (NPI 1306130307) is an individual adult reconstructive orthopaedic surgery provider in Mount Pleasant, South Carolina, licensed in South Carolina (40692) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306130307

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. DUSTIN S HAMBRIGHTCredential: MD

Location Address851 LEONARD FULGHUM DR STE 101Mount Pleasant, SC 29464-3793

Mailing Address9100 Medcom StN Charleston, SC 29406-9167 · (843) 414-6966 · Fax (843) 764-3577

Phone(843) 971-9350

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2011

Enumeration DateJune 7, 2011

Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1306130307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

Licenses✔ Licensed in SC · 40692✔ Licensed in MO · 2016011872

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

851 LEONARD FULGHUM DR STE 101, Mount Pleasant, SC 29464

Open in Google Maps ↗

Secondary Practice Locations 2

Location 14921 Parkview Pl, Ste 6A/6B/12ASaint Louis, MO 63110-1032 · Phone (314) 747-2500 · Fax (314) 747-2598

Location 29100 Medcom StN Charleston, SC 29406-9167 · Phone (843) 414-6966 · Fax (843) 764-3577

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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

Dr. Dustin S Hambright 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 ID1759549447

PECOS Enrollment IDI20170926003805

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

Medicare enrollment records show Dustin Hambright reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Cooper Physician Group LLC

2.5 mi

Diagnostic Radiology

2000 HOSPITAL DR
Mt Pleasant, SC 29464

Reassigned Medicare billing, South Carolina enrollment
158 clinicians in this Medicare group

NPI 1114893096 (843) 416-6150

South Carolina Sports Medicine & Orthopaedic Center

17 mi

Sports Medicine

9100 MEDCOM ST
N Charleston, SC 29406

Reassigned Medicare billing, South Carolina enrollment
53 clinicians in this Medicare group

NPI 1922111715 (843) 572-2663

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 20

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

1,824 services31 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.

744 services470 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.

517 services361 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

325 services257 patients

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.

305 services247 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

283 services206 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

228 services159 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

222 services147 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

215 services93 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

206 services70 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

167 services120 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.

145 services145 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

136 services111 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

63 services50 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

59 services58 patients

X-ray for bone length assessment 77073

An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.

57 services56 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

55 services54 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

23 services23 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.

18 services16 patients

Revision of component of total knee joint prosthesis 27486

A revision of a total knee joint prosthesis is a procedure performed to replace a previously implanted knee joint that is not functioning properly. This could be due to wear, loosening, infection, or other issues. The goal is to restore mobility and alleviate pain.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number420089

Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County

Emergency services Birthing friendly

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.

70.15/100

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

Scored as part of a group practice

Quality

40.27

Promoting Interoperability

Improvement Activities

Cost

81.91

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

38%698 patients2/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

90%4,627 patients4/55-star benchmark: 100%

e-Prescribing

100%455 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

4%1,079 patients1/55-star benchmark: 100%

Functional Status Assessment for Total Hip Replacement

0%130 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

12%1,700 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 74% · 1,425 patients

Patients screened: 80% · 1,425 patients

16%101 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

72%872 patients3/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.05%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%45 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 1,139 patients

Patients totalRate: 20% · 1,139 patients

20%1,139 patients2/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers65 claims65 services$38.22 avg. paid by Medicare

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810

DME-Other DME · category DE000N

1 supplier16 claims16 services$94.80 avg. paid by Medicare

Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories E1811

DME-Other DME · category DE000N

1 supplier12 claims12 services$86.29 avg. paid by Medicare

Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686

DME-Orthotic Devices · category DF000N

2 suppliers35 claims35 services$775.68 avg. paid by Medicare

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1832

DME-Orthotic Devices · category DF011N

1 supplier22 claims22 services$617.60 avg. paid by Medicare

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833

DME-Orthotic Devices · category DF011N

2 suppliers14 claims14 services$451.93 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 12

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

EAST COOPER PHYSICIAN GROUP LLC

Durable Medical Equipment & Medical Supplies

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464

Charleston County (843) 884-2133

LAUREN LAMENDOLA WELLING PA-C

Physician Assistant (Medical)

851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464

Charleston County (843) 971-9350

MRS. SARAH BRANYON VOGES APRN, ATC, FNP-C

Nurse Practitioner (Family)

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464

Charleston County (843) 971-9350

EAST COOPER PHYSICIAN GROUP LLC

Internal Medicine (Sports Medicine)

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464

Charleston County (843) 971-9350

AMY C KING CNS

Clinical Nurse Specialist

851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464

Charleston County (843) 971-9350

JOHN DAVISON SCHULTE PA-C

Physician Assistant

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464

Charleston County (843) 971-9350

EAST COOPER PHYSICIAN GROUP LLC

Orthopaedic Surgery

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464

Charleston County (843) 971-9350

MARIAH JORDAN SVANTESSON PA

Physician Assistant

851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464

Charleston County (843) 971-9350

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 Hambright's NPI number?

The NPI number for Dustin Hambright is 1306130307. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Dustin Hambright located?

Dustin Hambright practices at 851 Leonard Fulghum Dr Ste 101, Mount Pleasant, SC 29464. The listed phone number is (843) 971-9350.

What is Dustin Hambright's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Dustin Hambright enrolled in Medicare?

Yes. Dustin Hambright 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 Dustin Hambright's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Hambright reassigns Medicare benefits to 2 organizations: East Cooper Physician Group LLC (Mt Pleasant, SC) and South Carolina Sports Medicine & Orthopaedic Center (N Charleston, SC). 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 Dustin Hambright's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Hambright accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Dustin Hambright 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 Hambright affiliated with any hospitals?

According to CMS data, Dustin Hambright is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Beaufort County Memorial Hospital, Trident Medical Center and East Cooper Medical Center.

When was this NPI record last updated?

The NPPES record for Dustin Hambright was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.