DR. DUSTIN MATHEW PORTER M.D.
NPI 1447482732
Family Medicine - Sports Medicine in Poteau, OK

Active since August 20, 2009PECOS EnrolledAccepts Medicare Assignment
109 KERR AVE, POTEAU, OK 74953(918) 649-1100 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Feb 7, 2023, Feb 2, 2023 (3 updates tracked since 2023).

About Dr. Dustin Mathew Porter M.d. NPPES

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

DR. DUSTIN MATHEW PORTER M.D. (NPI 1447482732) is an individual sports medicine provider in Poteau, Oklahoma, licensed in Virginia (0101279209) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1447482732
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. DUSTIN MATHEW PORTERCredential: M.D.
Location Address109 KERR AVEPoteau, OK 74953-5270
Mailing Address13271 Amblewood DrManassas, VA 20112-7818 · (903) 508-9435
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 20, 2009
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1447482732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in VA · 0101279209 Licensed in NE · 25895
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 25895 (NE), 0101279209 (VA)
109 KERR AVE, Poteau, OK 74953

Secondary Practice Locations 3

Location 1Santa Margarita Rd. BLDG H100 ATTN: Code 094, Camp Pendleton Naval HospitalCamp Pendleton, CA 92055-5191 · Phone (760) 725-1394 · Fax (760) 725-1101
Location 25801 Army PentagonWashington, DC 20310-5191 · Phone (703) 692-8909
Location 32500 Investigation PkwyQuantico, VA 22134-5173 · Phone (571) 362-8561

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 Mathew Porter 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 ID8820579600
PECOS Enrollment IDI20260220001080
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.

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74953 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

Pharmacist
109 KERR AVE
POTEAU, OK 74953
Military Health Care Provider
109 KERR AVE
POTEAU, OK 74953
Case Manager/Care Coordinator
109 KERR AVE
POTEAU, OK 74953
Pharmacist
109 KERR AVE
POTEAU, OK 74953
Case Manager/Care Coordinator
109 KERR AVE
POTEAU, OK 74953
Physician Assistant (Medical)
109 KERR AVE
POTEAU, OK 74953
Registered Nurse (Diabetes Educator)
109 KERR AVE
POTEAU, OK 74953
Occupational Therapist
109 KERR AVE
POTEAU, OK 74953

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 Porter's NPI number?

The NPI number for Dustin Porter is 1447482732. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Dustin Porter located?

Dustin Porter practices at 109 Kerr Ave, Poteau, OK 74953. The listed phone number is (918) 649-1100.

What is Dustin Porter's specialty?

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

Is Dustin Porter enrolled in Medicare?

Yes. Dustin Porter 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 Porter affiliated with any hospitals?

According to CMS data, Dustin Porter is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Dustin Porter was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.