DUSTIN COLE HORNE MD
NPI 1417420852
Family Medicine in Jekyll Island, GA

Q: What is Dustin Horne's NPI number?

The NPI number for Dustin Horne is 1417420852. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Q: What is Dustin Horne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Horne was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 08, 2019PECOS EnrolledAccepts Medicare Assignment

77.45/100

CMS Quality Rating

11 MAIN ST UNIT 201, JEKYLL ISLAND, GA 31527(912) 766-0755(912) 766-0775 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2023, Sep 1, 2022, Apr 22, 2022 and 2 more (5 updates tracked since 2019).

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About Dustin Cole Horne Md NPPES

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

DUSTIN COLE HORNE MD (NPI 1417420852) is an individual family medicine provider in Jekyll Island, Georgia, licensed in Georgia (91054) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Mercer University School Of Medicine (2019).

NPPES Registry Identity

NPI1417420852

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDUSTIN COLE HORNECredential: MD

Location Address11 MAIN ST UNIT 201Jekyll Island, GA 31527-1064

Mailing Address250 Martin Luther King Jr BlvdMacon, GA 31201-3490

Phone(912) 766-0755

Fax(912) 766-0775

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2019

Enumeration DateJanuary 8, 2019

Last NPPES UpdateSeptember 15, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2023

✔ NPI 1417420852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 91054

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11 MAIN ST UNIT 201, Jekyll Island, GA 31527

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Dustin Cole Horne 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 ID5890021497

PECOS Enrollment IDI20220913002883

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 Horne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Corporation Of Mercer University

179 mi

Family Medicine

250 MARTIN LUTHER KING JR BLVD
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
54 clinicians in this Medicare group

NPI 1174693162 (478) 301-4111

Privia Medical Group Of Georgia LLC

244 mi

Internal Medicine

101 YORKTOWN DR
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
759 clinicians in this Medicare group

NPI 1013313857 (770) 460-4285

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 19

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.

209 services107 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.

183 services103 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.

78 services78 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

58 services47 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

53 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

50 services50 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

49 services49 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

47 services43 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

47 services47 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

44 services44 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.

39 services35 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

30 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services24 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

18 services13 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

18 services11 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

15 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110025

Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County

Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110146

Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31527 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

77.45/100

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

Scored as part of a group practice

Quality

60.86

Promoting Interoperability

100

Improvement Activities

Cost

63.96

Other Providers at the Same Location NPPES

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

JUDY GENENE COX ARNP FNP-BC

Nurse Practitioner (Family)

11 MAIN ST UNIT 201
JEKYLL ISLAND, GA 31527

Glynn County (478) 301-2123

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 Horne's NPI number?

The NPI number for Dustin Horne is 1417420852. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Dustin Horne located?

Dustin Horne practices at 11 Main St Unit 201, Jekyll Island, GA 31527. The listed phone number is (912) 766-0755.

What is Dustin Horne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dustin Horne enrolled in Medicare?

Yes. Dustin Horne 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 Horne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Horne reassigns Medicare benefits to 2 organizations: The Corporation Of Mercer University (Macon, GA) and Privia Medical Group Of Georgia LLC (Fayetteville, GA). 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 Horne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Horne accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Dustin Horne 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 Horne affiliated with any hospitals?

According to CMS data, Dustin Horne is affiliated with Southeast Georgia Health System- Brunswick Campus and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Dustin Horne was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.