DUSTIN JAMES MCLEMORE M.D.
NPI 1427218601
Internal Medicine - Pulmonary Disease in Anchorage, AK

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
4320 DIPLOMACY DRIVE, ANCHORAGE, AK 99508(907) 729-1559(907) 729-1557 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin James Mclemore M.d. NPPES

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

DUSTIN JAMES MCLEMORE M.D. (NPI 1427218601) is an individual pulmonary disease provider in Anchorage, Alaska, licensed in Oklahoma (26366) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2008).

NPPES Registry Identity

NPI1427218601
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDUSTIN JAMES MCLEMORECredential: M.D.
Location Address4320 DIPLOMACY DRIVEAnchorage, AK 99508
Mailing Address4320 Diplomacy DriveAnchorage, AK 99508 · (907) 729-1592
Fax(907) 729-1557
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2008
Enumeration DateJune 11, 2008
Last NPPES UpdateAugust 29, 2014
NPI 1427218601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OK · 26366
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 26366 (OK)
4320 DIPLOMACY DRIVE, Anchorage, AK 99508

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

Dustin James Mclemore M.d. 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 ID8224255799
PECOS Enrollment IDI20250331003183
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
270 services170 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services40 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
31 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services26 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Hillcrest Hospital Henryetta

Acute Care Hospitals · Henryetta, OK
OwnershipProprietary
CMS Certification Number370183
Location2401 W MainHenryetta, OK 74437 · Okmulgee County
Emergency services

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK
OwnershipProprietary
CMS Certification Number370228
Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Referred Medical Equipment & Supplies CMS DME claims 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers71 claims71 services$110.24 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers41 claims41 services$33.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$38.23 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 3

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

Family Medicine
4320 DIPLOMACY DRIVE, SUITE 1191 PRIMARY CARE CLINIC 1 EAST
ANCHORAGE, AK 99508
Dietitian, Registered
4320 DIPLOMACY DRIVE, SUITE 3191
ANCHORAGE, AK 99508
Pharmacist
4320 DIPLOMACY DRIVE
ANCHORAGE, AK 99508

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 Mclemore's NPI number?

The NPI number for Dustin Mclemore is 1427218601. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Dustin Mclemore located?

Dustin Mclemore practices at 4320 Diplomacy Drive, Anchorage, AK 99508. The listed phone number is (907) 729-1559.

What is Dustin Mclemore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Dustin Mclemore enrolled in Medicare?

Yes. Dustin Mclemore 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 Mclemore accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Dustin Mclemore 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 Mclemore affiliated with any hospitals?

According to CMS data, Dustin Mclemore is affiliated with Hillcrest Medical Center, Hillcrest Hospital Claremore, Hillcrest Hospital Henryetta, Hillcrest Hospital South and Bailey Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Dustin Mclemore was last updated on August 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.