MR. DUSTIN R SULAK D.O.
NPI 1427212059
Family Medicine in Manchester, ME

Q: What is Dustin Sulak's NPI number?

The NPI number for Dustin Sulak is 1427212059. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Q: What is Dustin Sulak's specialty?

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

Q: Is Dustin Sulak enrolled in Medicare?

No. Dustin Sulak has opted out of Medicare through June 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dustin Sulak was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 14, 2008Opted out of Medicare · through Jun 6, 2027

964 WESTERN AVE., MANCHESTER, ME 04351(207) 512-8633 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Mr. Dustin R Sulak D.o. NPPES

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

MR. DUSTIN R SULAK D.O. (NPI 1427212059) is an individual family medicine provider in Manchester, Maine, licensed in Maine (DO2142) and active in the NPI registry since July 2008. He has opted out of Medicare through June 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427212059

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. DUSTIN R SULAKCredential: D.O.

Location Address964 WESTERN AVE.Manchester, ME 04351

Mailing Address170 U.s. Route 1, Suite 200Falmouth, ME 04105 · (207) 482-0188 · Fax (888) 642-8601

Phone(207) 512-8633

Sole ProprietorNo

Enumeration DateJuly 14, 2008

Last NPPES UpdateJune 19, 2019

✔ NPI 1427212059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ME · DO2142✔ Licensed in ME · T0861

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.

964 WESTERN AVE., Manchester, ME 04351

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Other Identifiers 1

Medicaid433021499ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Dustin R Sulak D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 6, 2019 through June 6, 2027.

Opt-Out Effective DateJune 6, 2019

Opt-Out In Effect ThroughJune 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04351 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

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 Sulak's NPI number?

The NPI number for Dustin Sulak is 1427212059. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Dustin Sulak located?

Dustin Sulak practices at 964 Western Ave., Manchester, ME 04351. The listed phone number is (207) 512-8633.

What is Dustin Sulak's specialty?

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

Is Dustin Sulak enrolled in Medicare?

No. Dustin Sulak has opted out of Medicare through June 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dustin Sulak was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.