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

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: July 26, 2026.

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

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
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

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

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

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.

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

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
Quality40.27
Promoting Interoperability89
Improvement Activities30
Cost81.91

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.

Durable Medical Equipment & Medical Supplies
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Physician Assistant (Medical)
851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464
Nurse Practitioner (Family)
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Internal Medicine (Sports Medicine)
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Clinical Nurse Specialist
851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464
Physician Assistant
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Orthopaedic Surgery
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Physician Assistant
851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464

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.

What insurance does Dustin Hambright accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare 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 with the weekly NPPES data releases published by CMS.