DUSTIN DAKOTA PRINCE DO
NPI 1366183790
Family Medicine - Sports Medicine in Twin Falls, ID

Q: What is Dustin Prince's NPI number?

The NPI number for Dustin Prince is 1366183790. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Dustin Prince's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Prince was last updated on June 25, 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.

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment

714 N COLLEGE RD STE A, TWIN FALLS, ID 83301(208) 814-5075(208) 933-9660 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 3, 2026, Apr 9, 2026, Aug 9, 2024 and 1 more (4 updates tracked since 2022).

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About Dustin Dakota Prince Do NPPES

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

DUSTIN DAKOTA PRINCE DO (NPI 1366183790) is an individual sports medicine provider in Twin Falls, Idaho, licensed in Idaho (3781208) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366183790

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDUSTIN DAKOTA PRINCECredential: DO

Location Address714 N COLLEGE RD STE ATwin Falls, ID 83301-5812

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 814-5075

Fax(208) 933-9660

Sole ProprietorNo

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2022

Enumeration DateApril 7, 2022

Last NPPES UpdateJune 25, 20264 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1366183790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in ID · 3781208

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 02007373A (IN)

714 N COLLEGE RD STE A, Twin Falls, ID 83301

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Secondary Practice Locations 2

Location 1404 E Washington St Ste AIndianapolis, IN 46204-2609 · Phone (317) 963-2610

Location 21801 N Senate Blvd Ste 400Indianapolis, IN 46202-1245 · Phone (317) 944-9400

Other Identifiers 1

Medicaid300063355IN

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 Dakota Prince Do 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 ID1759763097

PECOS Enrollment IDI20260415003160

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.

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Other Providers at the Same Location NPPES

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

MASON GOODMAN

Pharmacist

714 N COLLEGE RD STE A
TWIN FALLS, ID 83301

Twin Falls County (208) 420-0674

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 Prince's NPI number?

The NPI number for Dustin Prince is 1366183790. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Dustin Prince located?

Dustin Prince practices at 714 N College Rd Ste A, Twin Falls, ID 83301. The listed phone number is (208) 814-5075.

What is Dustin Prince's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Dustin Prince enrolled in Medicare?

Yes. Dustin Prince 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.

Is Dustin Prince affiliated with any hospitals?

According to CMS data, Dustin Prince is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Dustin Prince was last updated on June 25, 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.